论文部分内容阅读
目的探讨输卵管妊娠行腹腔镜下输卵管切开取胚术及腹腔镜下输卵管切除术两种手术方法临床效果。方法对150例输卵管妊娠患者分别行腹腔镜下输卵管切开取胚术及腹腔镜下输卵管切除术,其中A组85例行腹腔镜下输卵管切开取胚术,术中于切开输卵管段系膜下注入甲氨蝶呤针50mg,余65例为B组行输卵管切除术,术后3d复查血β-HCG。结果 A组血β-HCG下降至基础值的87%-99%,无1例发生持续性宫外孕,B组血β-HCG下降至基础值的84%-95%。两组治疗效果相近,无统计学差异(P>0.05)。结论腹腔镜下输卵管切开取胚联合局部应用甲氨蝶呤手术方法,效果接近腹腔镜下输卵管切除术,不仅可有效避免持续性宫外孕发生,而且更大程度保留了输卵管。
Objective To investigate the clinical effects of laparoscopic tubal surgery and laparoscopic tubal surgery in tubal pregnancy. Methods 150 cases of tubal pregnancy were performed laparoscopic tubal excision and laparoscopic tubal resection, of which 85 cases of group A laparoscopic tubal embryo surgery, intraoperative incision in the fallopian tube segment Methotrexate needle submucous injection of 50mg, the remaining 65 cases of B group underwent tubal resection, postoperative 3d review of blood β-HCG. Results The blood β-HCG in group A decreased to 87% -99% of the baseline value. None of the patients had persistent ectopic pregnancy. The β-HCG in group B decreased to 84% -95% of the baseline value. The treatment effect was similar between the two groups, with no significant difference (P> 0.05). Conclusions Laparoscopic tubal incision and embryo retrieval combined with topical methotrexate surgery have the similar effect as laparoscopic tubal resection, which can not only prevent the occurrence of persistent ectopic pregnancy but also retain the fallopian tube to a greater extent.