腹腔镜手术与开腹手术治疗未破裂型输卵管妊娠临床对比分析

Clinical and Comparative Analysis of the Treatment of Tube Pregnancy by Different Conservative Management

目的 :探讨腹腔镜保守性手术治疗未破裂型输卵管妊娠的临床价值。方法 :对我院确诊为未破裂型输卵管妊娠 92例分组行保守性腹腔镜手术组 4 5例和开腹手术组 4 7例 ,术后随访输卵管的再通和再孕情况 ,并进行对比性分析。结果 :两组病例术中出血量、术后体温、血 βhCG恢复正常时间无显著差异 (P >0 .0 5 ) ;疼痛情况、胃肠功能恢复时间 (以肛门排气时间为准 )、住院时间 ,腹腔镜手术组均低于开腹手术组 (P <0 .0 5 )。腹腔镜手术组和开腹手术组输卵管再通率分别是 84 .4 %、6 1 .7% (P <0 .0 5 ) ;再孕率分别是 5 6 .7%、39.3% (P >0 .0 5 )。结论 :腹腔镜保守性手术是治疗未破裂型输卵管妊娠理想的手术方式 ,值得推广。

Objective:To discuss the clinical effect of the treatment of fallopian tube pregnancy with laparoscopy.Methods:92 patients with unbreaked fallopian tube gestation were divided into two groups with salpingotomy,45cases had been operated in laparoscope;47cases in abdominotomy.Results:There was no significant difference between the two groups in the bleeding volume,body temperature after operation,the time of blood βhCG restoring to normal level,gestation rate(P>0.05);The ache circumstance, stomach and intestines function recovers time( with the ass lines up spirit time is allow),hospitalization time,unobstructed rate of fallopian tube and were significant difference between the two groups(P<0.05).Conclusion:Laparoscope operation is an ideal surgical operation in gestation in unbreaked fallopian tube.It deserves the expansion.