腹腔镜与药物对比治疗异位妊娠的疗效观察

The clinical efficacy comparison of ectopic pregnancy between laparoscopic surgery and drug therapy

目的对比观察腹腔镜手术及药物保守治疗异位妊娠患者的疗效。方法选取妇产科同期未破裂异位妊娠患者100例,分为腹腔镜保守手术50例(腹腔镜组),药物保守治疗50例(药物组)。比较两组患者住院时间、治愈率、术后β-HCG降至正常时间、包块消失时间、月经恢复时间。结果行腹腔镜组住院时间为(6±3)d,治愈率为100%,术后β-HCG降至正常时间为(16.5±7.5)d,包块消失时间为(13.8±7.1)d,月经恢复时间为术后1个月;药物组分别为(13±5)d、84%、(18.8±7.5)d、(21.2±6.5)d和(2±1)个月;两组相比,P<0.05。结论对未破裂的异位妊娠患者,腹腔镜手术治疗具有明显的优势,应为其首选治疗方式。

[ Objective ] To observe the efficacy of the treatments between laparoscopic surgery and conservative drug therapy in ectopic pregnancy patients. [ Methods ] 100 patients of unruptured ectopie pregnancy over the same period were chosen and treated, 50 for laparoseopic group and another 50 for conservative drug therapy group.The period of patients stay in hospital, the complete cure rate, the value of 13 -HCG, the Mass lost time and the recovery time period were examined, respectively. [ Resluts ] The laparoscopic surgery group：The period of patients stay in hospital was （6 ~ 3）d, the cure rate was 100%, the time of the β -HCG dropped to the normal was （16.5 ± 7.5）d, the mass disappearance time was （13.8 ± 7.1） d, the recovery time of the menstrual was 1 month; while for the drug therapy group were （13 ± 5）d,84%, （18.8 ± 7.5）d, （21.2 ± 6.5）d and （2 ± 1）rnonths, respectively（P 〈0,05）. [ Conclusions ] The laparoscopic surgery has obvious advantages for patients with unruptured ectopic pregnancy and should be preferred for treatment.