腹腔镜抑剖腹保守性与否治疗输卵管妊娠的比较

Conservative Operation of Laparoscopy Versus Laparotomy for the Management of Tubal Pregnancy

【目的】探讨腹腔镜下保守性手术治疗输卵管妊娠的效果、安全性。【方法】选择我院腹腔镜下作输卵管修补术的输卵管壶腹部妊娠 30例 ,同时选择同期经剖腹输卵管修补术的输卵管壶腹部妊娠 2 7例 ,比较两组术中及术后妊娠的情况。【结果】腹腔镜组手术时间、术后住院时间均较剖腹组明显缩短 ,腹腔镜组比剖腹组术后妊娠率高、未增加重复异位妊娠率 ,1年内腹腔镜组受孕快。【结论】腹腔镜融诊断与治疗于一体 ,在输卵管妊娠方面 ,对于希望保留生育功能的妇女 ,有不可取代的优势。

Objective To discuss the effection and safety of conservative laparoscopy in the management of tubal pregnancy. Method To compare operation and pregnancy rate,patients of tubal ampullae pregnancy in our hospital were allocated to laparoscopy salpingstomy (n=30) or laparotomy salpingstomy(n=27). Rsults Laparoscopy treated patients had a significant reduction in operative times and postoperative hospital stay.The pregnancy rate of laparoscopy was higher.There was no statistical difference in ectopic pregnancy rates.One year after operation,the pregnancy of laparoscopy seemed faster. Conclusions Laprascopy has two funtions:diagnosis and treatment.Laparoscopy is more suitable for patients who expect to preserve their fertility in tubal pregnancy.