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目的比较腹腔镜保守手术治疗与化学药物保守治疗输卵管妊娠的效果。方法 100例输卵管妊娠患者分为腹腔镜保守手术治疗组(A组50例)和化学药物保守治疗组(B组50例),比较两组患侧输卵管通畅率、宫内妊娠率及患侧输卵管再次异位妊娠率等。结果 A组患侧输卵管通畅率76%,宫内妊娠率70%,患侧输卵管再次异位妊娠12%;B组患侧输卵管通畅率40%,宫内妊娠率48%,患侧输卵管再次异位妊娠28%。两组比较差异有统计学意义(P<0.05)。结论输卵管妊娠保守治疗后输卵管的功能取决于其通畅情况,通过宫腔镜输卵管插管通液可有效地判断输卵管通畅情况;就提高今后宫内妊娠率、减少患侧输卵管再次异位妊娠率等方面,腹腔镜保守手术均优于药物治疗。
Objective To compare the efficacy of laparoscopic conservative surgery and chemical conservative treatment of tubal pregnancy. Methods 100 patients with tubal pregnancy were divided into laparoscopic conservative surgery group (group A, 50 cases) and chemical conservative treatment group (group B, 50 cases). The tubal patency rate, intrauterine pregnancy rate and ipsilateral fallopian tube Ectopic pregnancy rate again. Results In group A, the ipsilateral tubal patency rate was 76%, the intrauterine pregnancy rate was 70%, and the ipsilateral tubal ectopic pregnancy was 12%. The tubal patency rate was 40% in the group B, the intrauterine pregnancy rate was 48% Pregnancy 28%. The difference between the two groups was statistically significant (P <0.05). Conclusions The function of tubal after conservative treatment of tubal pregnancy depends on its patency. Hysteroscopic tubal intubation can effectively determine the tubal patency. In the future, the intrauterine pregnancy rate will be increased and the rate of tubal ectopic pregnancy again will be reduced In terms of laparoscopic conservative surgery are better than drug treatment.