论文部分内容阅读
目的分析不同术式治疗输卵管妊娠的应用与妊娠结局。方法选取医院收治的输卵管妊娠患者90例为研究对象,随机分为A、B、C 3组,每组30例。A组给予腹腔镜输卵管开窗术治疗,B组给予腹腔镜输卵管切开缝合术治疗,C组给予开腹输卵管切开缝合术进行治疗。观察3组患者的术后输卵管通畅率及妊娠结局(宫内妊娠、再次异位妊娠、继发不孕)。结果 B组21例输卵管通畅率为70.00%,高于A组的13例(43.33%)与C组的12例(40.00%)(P<0.05);B组患者在宫内妊娠、再次异位妊娠及继发不孕比较中均优于A组与C组(P<0.05)。结论给予输卵管妊娠患者使用腹腔镜输卵管切开缝合术治疗,效果较好,能有效改善输卵管的阻塞情况和妊娠结局,值得临床推广应用。
Objective To analyze the application of different surgical treatment of tubal pregnancy and pregnancy outcome. Methods Ninety patients with tubal pregnancy admitted to hospital were selected as study subjects and randomly divided into A, B and C groups, 30 in each. Group A received laparoscopic salpingo-oophorectomy, Group B received laparoscopic tubal incision suture, Group C received open-ended tubal incision suture for treatment. The postoperative tubal patency rate and pregnancy outcome (intrauterine pregnancy, ectopic pregnancy, secondary infertility) of the three groups were observed. Results The success rate of tubal patency in group B was 70.00% in group B, 13 (43.33%) higher than group A and 12 (40.00%) in group C (P <0.05). In group B, Pregnancy and secondary infertility were better than those in group A and group C (P <0.05). Conclusion The use of laparoscopic tubal incision and suture in patients with tubal pregnancy is effective and can effectively improve the tubal obstruction and pregnancy outcome, which is worthy of clinical application.