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目的分析输卵管妊娠治疗后再次妊娠的结局情况.方法将112例有再妊娠要求的患者分为观察组(62例)与对照组(40例),分别采用腹腔镜手术方式和甲氨蝶呤复合米非司酮药物方式进行治疗,对两组治疗后的再妊娠情况以及输卵管对侧畅通情况分别统计比较.结果观察组再次妊娠共50例,占80.0%;宫内妊娠45例,占72.6%;异位妊娠 5例,占8.0%;不孕12例,占19.4%.对照组再次妊娠共25例,占62.5%;宫内妊娠17例,占42.5%;异位妊娠8例,占20.0%;不孕15例,占37.5%.另外,观察组输卵管对侧畅通46例,占74.2%;对照组输卵管对侧畅通15例,占37.5%.两组再妊娠结局整体比较,观察组明显要优于对照组(P <0.05).结论输卵管妊娠采用腹腔镜手术方式治疗后再妊娠结局要优于药物保守治疗,更值得临床推广应用.“,”Objective: To analyze of outcome of tubal pregnancy after treatment of pregnancy again. Methods: Choosed 112 patients to divide into study group with 62 cases and controled group with 40 cases. Study group were treated with laparoscopic surgery and controled group were treated with methotrexate combined mifepristone. Compared the pregnancy and falopian tube unblocked in these two groups. Results: There were 50 cases pregnancy again (80.0%), and 45 cases uterine pregnancy (72.6%), 5 cases ectopic pregnancy (8.0%), 12 cases infertility (19.4%). And controled group were 25 cases pregnancy again (62.5%), and 17 cases uterine pregnancy (42.5%), 8 cases ectopic pregnancy (20.0%), 15 cases infertility (37.5%). And there were 46 cases falopian tube unblocked (74.2%) in study group, and 15 cases falopian tube unblocked (37.5%). Conclusion: Choosing laparoscopic surgery to treat tubal pregnancy better than treating with medicine to extend in clinic.