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目的探讨腹腔镜手术不同方法对生殖能力的影响。方法运用病例回顾和问卷随访对吉林省长春市中心医院妇产科151例有生育要求的患者,分别行腹腔镜输卵管切除术和腹腔镜输卵管开窗术及腹腔镜输卵管伞端挤胚术资料进行分析比较。结果输卵管切除术宫内妊娠率68%(47/69),再次异位妊娠9.8%(7/69);开窗术与伞端挤胚术宫内妊娠率72%(59/82),再次异位妊娠15.4%(13/82)。比较两种术式宫内妊娠率及再次异位妊娠率差异无统计学意义(P>0.05)。结论腹腔镜手术不同方法治疗异位妊娠,保守性和根治性治疗术后受孕情况差异无统计学意义。
Objective To investigate the effects of different methods of laparoscopic surgery on reproductive capacity. Methods A total of 151 reproductive and obstetric patients with gynecology and obstetrics in Changchun Central Hospital of Jilin Province were enrolled in this study. The patients underwent laparoscopic salpingo-oophorectomy and laparoscopic salpingo-oophorectomy and laparoscopic tubal extirpation analyse and compare. Results The intrauterine pregnancy rate of tubal resection was 68% (47/69) and that of ectopic pregnancy was 9.8% (7/69). The intrauterine pregnancy rate was 72% (59/82) Ectopic pregnancy 15.4% (13/82). There was no significant difference between the two intrauterine pregnancy rates and the second ectopic pregnancy rate (P> 0.05). Conclusions Laparoscopic surgery with different methods of treatment of ectopic pregnancy, conservative and radical treatment of postoperative gestational differences were not statistically significant.