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目的探讨腹腔镜下患侧输卵管开窗术对于输卵管妊娠妇女生育状况的影响。方法选取2012年1月—2014年1月收治的输卵管妊娠患者124例,随机分为对照组和观察组各71例,观察组实施腹腔镜下患侧输卵管开窗术治疗,对照组行腹腔镜下输卵管切除术,比较两组手术情况及再次生育状况,数据进行统计学处理,P<0.05为差异有统计学意义。结果术后24 h及72 h两组血β-HCG水平均降低,观察组降低幅度大于对照组(均P<0.05);观察组术后患侧输卵管再通率为85.92%;术后2年,观察组宫内妊娠率为69.01%,高于对照组的52.83%(P<0.05)。结论对于未破裂型输卵管妊娠患者,应用腹腔镜下患侧输卵管开窗术创伤较小,能够保留患者的生育功能,具有一定的临床推广应用价值。
Objective To investigate the effect of laparoscopic ipsilateral tubal fenestration on reproductive status of tubal pregnant women. Methods 124 patients with tubal pregnancy admitted to our hospital from January 2012 to January 2014 were randomly divided into control group and observation group with 71 cases each. The observation group underwent laparoscopic ipsilateral tubal fenestration and the control group received laparoscopic Under the fallopian tube resection, the two groups of surgical conditions and fertility status again, the data were statistically analyzed, P <0.05 for the difference was statistically significant. Results The serum levels of β-HCG decreased in both groups at 24 h and 72 h after operation, and the reduction rate in the observation group was greater than that in the control group (all P <0.05). The tubal recanalization rate in the observation group was 85.92% . The intrauterine pregnancy rate in the observation group was 69.01%, which was higher than that in the control group (52.83%, P <0.05). Conclusion For patients with unruptured tubal pregnancy, the application of laparoscopic ipsilateral tubal fenestration has less trauma and can retain the patient’s reproductive function, and has certain clinical application value.