腹腔镜保守手术治疗输卵管妊娠的临床疗效及对受孕的影响

Clinical efficiency of laparoscopic conservative surgery in treatment of tubal pregnancy and the impact on pregnancy

目的：评价腹腔镜手术治疗输卵管妊娠的临床疗效，及对受孕的影响。方法：选择该院2008年1月～2009年1月入院的输卵管妊娠患者60例，分为腹腔镜组和开腹组各30例，术后比较两组的疗效及受孕情况。结果：腹腔镜组的手术时间、术中出血量、排气时间、住院时间等明显短于开腹组（P〈0．05）。术后随访患者3—16个月，腹腔镜组术后1年的受孕率明显高于开腹组（P〈0．05）。结论：腹腔镜保守手术治疗输卵管妊娠具有创伤小、手术时间短、患者术后恢复快，且手术切口美观、术后受孕率高等特点，患者易于接受，值得临床推广使用。

Objective： To evaluate the clinical efficiency of laparoscopic conservative surgery in treatment of lubal pregnancy and the impact on pregnancy. Methods： 60 patients with tubal pregnancy were selected from the hospital fi＇om January 2008 to January 2009, then they were divided into lapavoscopic surgery group and laparotomy surgery group, 30 patients in each group, the postoperative efficacies and pregnancy situations in the two groups were compared. Results： The operation time, blood loss during operation, exhaust time and hospitalization time in laparoscopie surgery group were significantly shorter than those in laparotomy surgery group （ P 〈 0. 05 ） . The patients were followed up for 3 - 16 months after surgery, the pregnancy rate in laparoscopic surgery group at one year after surgery was significantly higher than that in laparotomy surgery group （P 〈 0. 05） . Conclusion： Laparoscopic conservative surgery has the advantages of minimal invasion, short operation time, quick recovery, good looking incision and high pregnancy rate after surgery, which is easy to be accepted by the patients and is worthy to be popularized.