腹腔镜与药物治疗输卵管妊娠疗效比较

目的通过对比分析腹腔镜取胚胎手术及药物保守治疗这二种方式对输卵管妊娠治疗的效果，比较二种治疗方法对再次妊娠的影响。方法回顾分析输卵管妊娠患者124例的临床资料。腹腔镜治疗组68例，药物保守治疗组56例，术后跟踪回访1-3年，观察再次妊娠情况。结果术后宫内妊娠率腹腔镜治疗组明显高于药物治疗组，差异有统计学意义（P〈0．5）；术后再次异位妊娠率及继发不孕率两组差异无统计学意义（P〉0．05）。结论腹腔镜手术后有更高的宫内妊娠率，且不会增加术后再次异位妊娠及继发不孕的风险，因此对于有生育要求的输卵管妊娠患者用腹腔镜手术治疗较为理想。

Objective To evaluate influence of two therapies for tubal pregnancy on subsequent pregnancy, by comparing effects of conservative drug with conservative laparoscopic therapy. Methods To analyzed clinical data from 124 patients of tubal pregnancy,The patients were divided into two groups according to therapy：group of conservative therapy via laparoscope（68 cases） , group of conservative drug therapy. Subsequent pregnancies of cases after treatments are followed up for two years. Results Intrauterine pregnancy rates of group with conservative laparoscopic therapy were significantly higher than group with conservative drug, The difference had statistical significance （ P 〈 0. 5 ） , There wasn＇t statistical difference between two groups in incidences of recurrent ectopic pregnancy and secondary infertility （ P 〉 O. 05 ）. Conclusions The risks of recurrent ectopic pregnancy and secondary infertility don＇t increase as conservative therapy via laparoscope raise Intrauterine pregnancy for tubal pregnancy patients, which is an ideal therapy for those which hope to preserve fertility