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目的探讨腹腔镜下输卵管妊娠不同手术方式的临床效果。方法 80例输卵管妊娠患者,根据腹腔镜下不同手术方式将其分为A组和B组,各40例。A组患者在腹腔镜直视下行输卵管切开取胚间断缝合手术,B组患者腹腔镜下输卵管局部注射垂体后叶素并切开取胚缝合术,比较两组患者手术情况和术后输卵管再通率。结果两组患者手术均全部顺利完成,A组患者术后2个月患侧输卵管再通率57.5%(23/40)低于B组的87.5%(35/40),两组比较,差异具有统计学意义(χ~2=9.0282,P<0.05)。B组患者手术时间(40.0±2.4)min和术中出血量(2.9±1.1)ml均低于A组的(67.6±3.2)min和(8.2±1.4)ml,两组比较,差异均具有统计学意义(t=-43.6394、-18.8268,P<0.05)。结论输卵管妊娠选择腹腔镜下局部注射垂体后叶素并输卵管切开取胚缝合术能更好地满足患者再孕的要求,值得临床推广应用。
Objective To investigate the clinical effect of different operation methods of laparoscopic tubal pregnancy. Methods Eighty patients with tubal pregnancy were divided into group A and group B according to different operation methods of laparoscopy, 40 cases in each group. A group of patients undergoing laparoscopic direct descending tubal severing suture surgery, B group of patients with laparoscopic tubal injection of vasopressin and the removal of embryo suture surgery, the two groups were compared the surgical conditions and postoperative tubal re- Through rate. Results The operation of the two groups was completed successfully. The rate of tubal recanalization in group A was 57.5% (23/40) 2 months later than that in group B (87.5%, 35/40). There was significant difference between the two groups Statistical significance (χ ~ 2 = 9.0282, P <0.05). In group B, the operation time (40.0 ± 2.4) min and intraoperative blood loss (2.9 ± 1.1) ml were significantly lower than those in group A (67.6 ± 3.2) min and (8.2 ± 1.4) ml, respectively Significance (t = -43.6394, -18.8268, P <0.05). Conclusions Selection of tubal pregnancy by laparoscopic local injection of vasopressin and tubal incision embryo suture surgery can better meet the requirements of patients with pregnancy, it is worth clinical application.