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目的探讨不同方法治疗输卵管妊娠后的效果,并比较再孕率。方法选取我院2014年2月~5月收治的80例输卵管妊娠的患者为研究对象,按照治疗方法的不同分为腹腔镜保守治疗组(观察组)和开腹手术组(对照组),每组40例。比较两组的手术效果,并对所有患者术后进行3~18个月的随访,记录术侧输卵管通畅、宫内妊娠的发生率以及同侧输卵管再次妊娠的发生率。结果观察组的术中出血量、术后排气时间、下床活动时间、β-HCG恢复正常的时间以及住院时间均与对照组有统计学意义(P<0.05)。观察组术后在术侧输卵管通畅、宫内妊娠的发生率以及同侧输卵管再次妊娠的发生率均与对照组有统计学意义(P<0.05)。结论腹腔镜保守治疗输卵管妊娠的手术疗效较好,其创伤小,而且术后输卵管通畅率和再孕率高,值得推广应用。
Objective To explore the effect of different methods of treatment of tubal pregnancy, and compare the rate of pregnancy. Methods Eighty patients with tubal pregnancy admitted from February 2014 to May 2014 in our hospital were selected as study subjects and divided into laparoscopic conservative group (control group) and laparotomy group (control group) according to the different treatment methods. Group of 40 cases. All patients were followed up for 3 to 18 months. The incidence of tubal patency, intrauterine pregnancy and intrauterine tubal re-pregnancy were recorded. Results The intraoperative blood loss, postoperative exhaust time, ambulation time, normal time of recovery of β-HCG and length of stay in the observation group were all statistically significant compared with the control group (P <0.05). Observation group after operation in the lateral tubal patency, the incidence of intrauterine pregnancy and ipsilateral fallopian tube pregnancy again with the incidence of the control group were statistically significant (P <0.05). Conclusion Laparoscopic conservative treatment of tubal pregnancy surgery is better, less trauma, and postoperative tubal patency rate and high rate of pregnancy, it is worth promoting the application.