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目的:分析比较保留输卵管与切除输卵管手术治疗有胎心搏动异位妊娠的临床疗效。方法:对本院2011年9月2日-2013年9月2日收治的94例B超提示有胎心搏动异位妊娠患者的临床数据进行回顾性分析,其中观察组47例,行保留输卵管手术;对照组47例,行切除输卵管手术,比较两组术前与术后2 d、术后4 d、术后6 d的血绒毛膜促性腺激素(HCG)水平变化及月经恢复正常的时间,随访2年宫内妊娠率及再次异位妊娠的发生率。观察两组患者治疗后的妊娠情况差异。结果:观察组与对照组术后2年宫内妊娠率分别为74%,19%,差异具有统计学意义(P<0.05)。两组再次异位妊娠率比较,观察组:9%,对照组:6%,差异无统计学意义(P>0.05)。结论:有胎心搏动异位妊娠腹腔镜手术保留输卵管临床疗效可,安全性高。无持续性异位妊娠发生,明显提高将来宫内妊娠率。对年轻有生育要求的患者,B超提示有胎心搏动异位妊娠应采取保留输卵管手术。
OBJECTIVE: To analyze the clinical effects of preserving the tubal and resecting tubal surgeries in the treatment of fetal heartbeat ectopic pregnancy. Methods: A retrospective analysis was performed on the clinical data of 94 patients with B-ascites who had fetal heartbeat ectopic pregnancy admitted to our hospital from September 2, 2011 to September 2, 2013. 47 patients in the observation group underwent oviduct reservation (N = 47). The control group (n = 47) underwent tubal resection. The changes of blood chorionic gonadotropin (HCG) level at 2 days before operation and 2 days after operation, 4 days after operation and 6 days after operation were compared between the two groups. , Followed up for 2 years intrauterine pregnancy rate and the incidence of ectopic pregnancy again. The difference of pregnancy after treatment between the two groups was observed. Results: The 2-year intrauterine pregnancy rates in the observation group and the control group were 74% and 19%, respectively. The difference was statistically significant (P <0.05). Two groups of ectopic pregnancy rate again compared with the observation group: 9%, control group: 6%, the difference was not statistically significant (P> 0.05). Conclusion: Laparoscopic surgery with fetal heartbeat ectopic pregnancy to retain the clinical efficacy of tubal may be safe. No persistent ectopic pregnancy occurred, significantly improve the rate of future intrauterine pregnancy. For young patients with fertility requirements, B ultrasound tips have fetal heartbeat ectopic pregnancy should be taken to retain tubal surgery.