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目的比较不同手术方式治疗输卵管妊娠的临床疗效。方法将我院2010年至2012年间收治的86例输卵管妊娠患者随机分为单纯保守手术治疗组(A组)和保守性手术联合术中输卵管系膜局部注射甲氨喋呤治疗(B组),每组各43例,比较两组患者的临床疗效及输卵管通畅率。结果 A组患者治疗总有效率为97.7%,显著高于B组患者的79.1%,组间差异有统计学意义(P<0.05)。同时,A组患者治疗后输卵管通畅率为95.3%,显著高于B组患者的74.4%,组间差异有统计学意义(P<0.05)。结论采用保守性手术联合术中输卵管系膜局部注射甲氨喋呤治疗输卵管妊娠疗效优于单纯保守性手术治疗。值得临床进一步推广使用。
Objective To compare the clinical effects of different surgical methods in the treatment of tubal pregnancy. Methods 86 cases of tubal pregnancy admitted to our hospital from 2010 to 2012 were randomly divided into simple conservative surgery group (group A) and conservative surgery combined with tubal mesotrione (group B) Each group of 43 cases, the clinical efficacy and tubal patency rates were compared between the two groups. Results The total effective rate of treatment in group A was 97.7%, which was significantly higher than that in group B (79.1%). The difference between the two groups was statistically significant (P <0.05). At the same time, the tubal patency rate in group A was 95.3%, significantly higher than 74.4% in group B, the difference was statistically significant (P <0.05). Conclusions Conservative operation combined with intraoperative tubal mesotrione injection of methotrexate in tubal pregnancy is better than simple conservative operation. It is worth to further promote the use of clinical.