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目的探讨药物杀胚联合腹腔镜保守手术治疗异位妊娠的临床效果。方法回顾性分析厦门市第五医院2014年收治的异位妊娠患者100例,随机分为对照组和观察组,各50例。对照组患者仅采用腹腔镜保守手术方法治疗,观察组患者于腹腔镜保守手术方法治疗前采用药物杀胚治疗。比较两组患者术后出血情况及不良反应,随访2年,统计比较两组患者再妊娠情况。结果观察组患者术后创面出血情况优于对照组(P<0.05)。观察组患者再次异位妊娠率低于对照组,宫内妊娠率高于对照组(P<0.05)。观察组不良反应发生率为14.0%(7/50);对照组患者未出现药物不良反应。结论药物杀胚后行腹腔镜保守手术治疗异位妊娠可有效缓解创面出血,提高宫内妊娠率。
Objective To investigate the clinical efficacy of drug killing embryo combined with laparoscopic conservative surgery for ectopic pregnancy. Methods A retrospective analysis of 100 cases of ectopic pregnancy admitted to Xiamen No.5 Hospital in 2014 was randomly divided into control group and observation group, with 50 cases in each group. Patients in the control group were treated with laparoscopic conservative surgery only. Patients in the observation group were treated with drugs before laparoscopic conservative surgery. The postoperative bleeding and adverse reactions were compared between the two groups. The patients were followed up for 2 years. The pregnancy status of the two groups was compared statistically. Results The postoperative wound bleeding in the observation group was better than that in the control group (P <0.05). The ectopic pregnancy rate in observation group was lower than that in control group, and the intrauterine pregnancy rate was higher than that in control group (P <0.05). The incidence of adverse reactions in the observation group was 14.0% (7/50). There was no adverse drug reaction in the control group. Conclusions Laparoscopic conservative surgery for ectopic pregnancy after drug killing can effectively relieve the wound bleeding and improve the intrauterine pregnancy rate.