腹腔镜保守性手术治疗输卵管妊娠130例临床分析

Clinical analysis of 130 cases of laparoscopic oviduct-sparing operation for tubal pregnancy

目的:探讨应用腹腔镜保守性手术治疗输卵管妊娠的临床价值。方法:对接受腹腔镜保守性手术治疗的130例输卵管妊娠患者(A组),观察其术后输卵管通畅程度、再次宫内妊娠率、异位妊娠再发等情况,并与同期接受输卵管切除术的94例患者(B组)进行对比分析。结果:腹腔镜保守性手术组和输卵管切除术组术后宫内妊娠率分别为69.2%、40.4%,两组比较差异有统计学意义(P<0.05)。结论:腹腔镜保守性手术治疗输卵管妊娠具有微创、安全及再次妊娠率高等优点。

Objective： To explore the value of laparoscopic oviduct-sparing operation for tubal pregnancy. Methods： A prospective study was carried patency, re-pregnancy and re-ectopic pregnancy out to compare the rate of post-operative oviduct in laparoscopic oviduct-sparing operation group （group A：130 cases） with that in laparoscopic salpingectomy group（group B ：94 cases） in treating tubal pregnancy. Results ： The rate of re-pregnancy in group A was 69.2%, and that in group B was 40.4%. The rate of re-pregnancy was significantly different between group A and group B （P 〈 0.05 ）. Conclusion ： laparoscopic oviduct-sparing operation in treatment of tubal pregnancy is safe and mini-invasive, and has advangtage of higher re-pregnancy.