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目的对比观察腹腔镜手术及药物保守治疗异位妊娠患者的疗效。方法选取妇产科同期未破裂异位妊娠患者100例,分为腹腔镜保守手术50例(腹腔镜组),药物保守治疗50例(药物组)。比较两组患者住院时间、治愈率、术后β-HCG降至正常时间、包块消失时间、月经恢复时间。结果行腹腔镜组住院时间为(6±3)d,治愈率为100%,术后β-HCG降至正常时间为(16.5±7.5)d,包块消失时间为(13.8±7.1)d,月经恢复时间为术后1个月;药物组分别为(13±5)d、84%、(18.8±7.5)d、(21.2±6.5)d和(2±1)个月;两组相比,P<0.05。结论对未破裂的异位妊娠患者,腹腔镜手术治疗具有明显的优势,应为其首选治疗方式。
Objective To compare the efficacy of laparoscopic surgery and drug conservative treatment of ectopic pregnancy. Methods 100 cases of unruptured ectopic pregnancy in obstetrics and gynecology were enrolled in this study. They were divided into laparoscopic conservative surgery group (50 cases) and conservative treatment group (50 cases). The hospitalization time, cure rate, postoperative β-HCG decreased to normal time, mass disappeared time and menstruation recovery time were compared between the two groups. Results The hospitalization time was (6 ± 3) d in laparoscopic group, the cure rate was 100%, the time of β-HCG decreased to (16.5 ± 7.5) d, the disappearance time of mass (13.8 ± 7.1) d, The duration of menstruation was 1 month after operation. The drug group was (13 ± 5) d, 84%, (18.8 ± 7.5) d, (21.2 ± 6.5) d and (2 ± 1) months respectively. , P <0.05. Conclusion For patients with unruptured ectopic pregnancy, laparoscopic surgery has obvious advantages and should be the first choice of treatment.