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目的:探究腹腔镜输卵管开窗取胚术治疗异位妊娠的临床效果及对宫内妊娠、异位妊娠再发的影响。方法:选取2014年4月至2016年10月广东省雷州市人民医院收治的90例异位妊娠患者临床资料进行分析,按照治疗方式的不同分成对照组(45例)与研究组(45例),对照组行输卵管切除术,研究组行腹腔镜输卵管开窗取胚术,比较两组血β-人绒毛膜促性腺激素(β-HCG)水平、生活质量以及宫内妊娠、异位妊娠再发率。结果:两组术后7 d血β-HCG水平均显著低于术后1 d、4 d,其中研究组变化程度更显著,差异均具有统计学意义(P<0.05);两组生活质量评分均高于术前,而研究组提升效果更显著,差异均具有统计学意义(P<0.05);研究组与对照组异位妊娠再发率比较,差异无统计学意义(P>0.05),研究组妊娠率显著高于对照组,差异具有统计学意义(P<0.05)。结论:异位妊娠应用腹腔镜输卵管开窗取胚术进行治疗能够有效提高临床疗效,宫内妊娠率较高。
Objective: To investigate the clinical effect of laparoscopic salpingoplasty on ectopic pregnancy and its effect on the recurrence of intrauterine pregnancy and ectopic pregnancy. Methods: The clinical data of 90 ectopic pregnancy patients who were treated in Leizhou People’s Hospital of Guangdong Province from April 2014 to October 2016 were analyzed and divided into control group (45 cases) and study group (45 cases) according to different treatment methods. , The control group underwent tubal resection, the study group underwent laparoscopic salpingo-oophorectomy. The levels of β-HCG, quality of life, intrauterine pregnancy and ectopic pregnancy were compared between the two groups Hair rate. Results: The levels of blood β-HCG in both groups at 7 d after operation were significantly lower than those at 1 d and 4 d after operation (P <0.05). The changes in the study group were more significant (P <0.05) (P <0.05). The recurrence rate of ectopic pregnancy was no significant difference between study group and control group (P> 0.05), and the difference was statistically significant The pregnancy rate of the study group was significantly higher than that of the control group, the difference was statistically significant (P <0.05). Conclusion: The treatment of ectopic pregnancy with laparoscopic salpingo-oophorectomy can effectively improve the clinical curative effect, and the intrauterine pregnancy rate is high.