腹腔镜手术及药物保守治疗异位妊娠疗效对比研究

Comparison on the effect of laparoscopic oviduct-sparing operation and chemothorapy in treatment of ectopic pregnancy

目的探讨腹腔镜手术及药物治疗异位妊娠的近、远期疗效。方法回顾性分析我院收治113例异位妊娠患者,分腹腔镜手术组、药物治疗组进行比较,分别观察其住院天数、出院时hCG值、输卵管通畅率、再次受孕等情况。结果腹腔镜组有效率97.61%,药物治疗组90.9%。腹腔镜手术组较药物治疗组住院天数短(P<0.01)、血hCG下降快(P<0.01)、输卵管通畅率高(P<0.05)、再次宫内妊娠率高(P<0.05);再次同侧异位妊娠率稍有降低,但差异无统计学意义。结论与药物保守治疗相比,腹腔镜保守手术治疗异位妊娠具有明显优势,值得应用,是异位妊娠保守治疗中一种安全、可靠的方法。

Objective To study the effect and the value of laparoscopic oviduct-sparing operation and chemotherapy in treatment of eetopic pregnancy. Methods Retrospective analysis 113 eases of ectopie pregnancy, were divided into two groups. 57 cases exert laparoscopic oviduct-sparing operation, the other 56 cases exert chemotherapy. The clinical information was compared. Results Group laparoscopic oviduct-sparing operation showed remarkably differences in the rate of curative rate, shortening the time of hospitalization, decreasing the level of hCG on the discharge day and increasing the chance of re-pregnancy. There were no significant effect on prevent on the same side re-ectopic pregnancy. Conclusion Laparoscopie oviduct-sparing operation in treatment of ectopic pregnancy has lots of advantages, it is worth of applying in practice.