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目的:对比分析异位妊娠患者手术治疗和保守治疗取得的不同治疗效果。方法:研究对象为我院某特定时期收治的96例异位妊娠,分组依据为患者病情及治疗方案,A组48例患者根据病情采用药物保守治疗,B组采用腹腔镜手术治疗,对比两组治疗效果。结果:A组患者血液中β-HCG指标恢复时间与住院总时间与B组相比较长;A组患者治疗后输卵管疏通率(62.5%)比B组(79.2%)低;A组治疗后随访结果显示其宫内妊娠率(56.3%)低于B组(64.6%),三组结果对比均有统计学意义。结论:在针对异位妊娠患者治疗上,应根据患者病情情况选择不同治疗方案,保守和手术治疗均能取得显著效果。保守治疗虽安全性较高,但腹腔镜手术治疗总治疗时间短,且患者治疗后输卵管疏通率高和宫内妊娠率较高,因此临床上针对有生育需求的异位妊娠患者多建议采取手术治疗。
OBJECTIVE: To compare the different therapeutic effects of surgical treatment and conservative treatment in patients with ectopic pregnancy. Methods: The subjects were 96 cases of ectopic pregnancy treated in our hospital for a specific period. The grouping was based on the patient’s condition and treatment plan. A group of 48 patients were treated conservatively according to the condition and the other group was treated by laparoscopy. treatment effect. Results: The recovery time of β-HCG and total length of hospital stay in group A were longer than that in group B; the salvage rate of tubal in group A was lower than that in group B (62.5%) compared with group B (79.2%); The results showed that the intrauterine pregnancy rate (56.3%) lower than the B group (64.6%), the three groups were statistically significant. Conclusion: In the treatment of patients with ectopic pregnancy, different treatment options should be selected according to the patient’s condition, and both conservative and surgical treatment can achieve remarkable results. Although the conservative treatment of high safety, but the total treatment of laparoscopic surgery for a short time, and the treatment of patients with tubal dredging rate and high intrauterine pregnancy rate, so clinically for reproductive needs of patients with ectopic pregnancy and more recommended surgery treatment.