输卵管妊娠的腹腔镜与开腹保守手术治疗对比研究

Contrast between laparoscopy conservative surgical management and laparotomy conservative surgical management for tubal pregnancy

目的:探讨腹腔镜保守治疗有生育要求输卵管妊娠患者价值。方法:回顾分析200例保守手术治疗有生育要求输卵管妊娠可患者,其中腹腔镜组100例,开腹组100例。比较两组的手术时间、术中出血量,并于术后第3个月经后行输卵管碘油造影术了解两组异位妊娠输卵管的复通情况。结果:腔镜组平均手术时间(43.98±15.58)min,开腹组平均手术时间(69.25±18.33)min,差异无统计学意义。腔镜组平均出血量(40.25±10.23)ml;开腹组平均出血量(70.68±18.88)ml两者(P<0.05),差异有统计学意义。术后保留输卵管通畅率腹腔镜组90%,开腹组为75%,P<0.05,差异有统计学意义。结论:腹腔镜保守治疗输卵管妊娠疗效确定,有实际意义,更适用于有生育要求的患者。

Objective：To approach the value of laparoscopy conservative treatment for the patients of tubal pregnancy with breed requirement. Methods：200 records of tubal pregnancy patients with breed requirement were retrospectively analyzed who received conserv active surgical management. Laparoscopy was performed in 100 cases, 1 aparotomy in 100 cases. Results： The operation time, breeding loss and tubal patency rate with hysteration time for laparoscopy group was （43.98 ± 15.58） rain, and （69. 25 ± 18.33） min for laparotomy group. There was no statistical significance of the difference. The breed loss of the laparoscopy group was （40.25 ± 10.23） ml, and （70. 68 ± 18.88 ） ml for laparotomy group. The tubal patency rate of laparoscopy was 90% , and laparotomy group was 75%. The discrepancy of breed loss and tubal patency rate was statistically significant. Conclusion： Laparoscopy conservative surgical management for tubal pregnancy is valuable, especially for the patients with breed requirement.