腹腔镜保守性手术与药物治疗输卵管妊娠比较研究

Comparative study of laparoscopic oviduct-sparing operation and drug therapy for tubal pregnancy

目的探讨腹腔镜保守性手术与化学药物治疗输卵管妊娠的临床效果。方法 80例输卵管妊娠患者分为腹腔镜保守性手术治疗组(n=40)和化学药物保守治疗组(n=40),比较两组患者住院时间、输卵管复通率、宫内妊娠率及患侧输卵管再次异位妊娠率等。结果腹腔镜治疗组住院时间和患侧输卵管再次异位妊娠率明显低于药物治疗组(P<0.05),而患侧输卵管复通率和宫内妊娠率明显高于药物治疗组(P<0.05)。结论腹腔镜保守性手术比化学药物治疗住院时间短,且有较高的输卵管复通率、较高的宫内妊娠率及较低的同侧输卵管再次异位妊娠率,更有利于恢复患者的输卵管通畅。

[ Objective ] To compare the clinical effect of laparoscopic oviduct-sparing operation and drug thera- py in the treatment of tubal pregnancy. [ Methods ] 80 patients with tubal pregnancy were divided into laparoscopic oviduct-sparing operation group （n=40）, and drug therapy group （n=40）. The time of hospitalization, the tubal paten- cy rate, intrauterine pregnancy rate and the recurrent tubal pregnancy rate were compared between the two groups. [ Results ] The time of hospitalization and and the recurrent tubal pregnancy rate of laparoscopic oviduct-sparing operation were significant less than the drug therapy group, the tubal patency rate, the intrauterine pregnancy rate of laparoscopic oviduct-sparing operation were significant higher than the drug therapy group. [ Conclusion ] The la- paroscopic oviduct-sparing operation is better than the drug therapy in the treatment of tubal pregnancy for recover- ing tubal function.