经阴道超声引导与腹腔镜下手术治疗异位妊娠的临床效果对比

Comparison analyze of therapeutic effect of trans-vaginal ultrasound-guided interventional therapy with laparoscope treatment for ectopic pregnancy

目的 对比分析经阴道超声引导与腹腔镜下手术治疗异位妊娠的临床效果.方法 选择2011年1月～2013年1月浙江省东阳市第二人民医院妇产科异位妊娠患者120例为研究对象,按照手术治疗方式分为超声引导组和腹腔镜组,每组各60例.对比分析两组患者治疗效果、术中与围术期及术后情况.结果 超声引导组和腹腔镜组治疗总有效率分别为96.67％、93.33％,两组比较,差异无统计学意义（P＞0.05）;超声引导组和腹腔镜组手术时间[（71.03±24.31）min比（70.92±25.04）min]、住院时间[（4.01±2.33）d比（3.95±2.09）d],差异无统计学意义（P＞0.05）;两组术中出血量、排尿导管滞留时间、肛门排气时间、抗生素应用时间、医疗费用、下床活动时间、血人绒毛膜促性腺激素（β-HCG）降至正常所需要的时间、是否需要应用术后镇痛剂以及术后生活质量各领域评分情况比较,差异均无统计学意义（均P＞ 0.05）.结论 经阴道超声引导与腹腔镜下手术作为新型的异位妊娠手术治疗方法具有相似的临床疗效,能为患者带来更多福音.

Objective To compare the therapeutic effect of trans-vaginal ultrasound-guided interventional therapy with laparoscope treatment for ectopic pregnancy.Methods 120 cases with ectopic gestation in the Second People＇s Hospital of Dongyang City from January 2011 to January 2013 in the Second People＇s Hospital of Dongyang City were selected as study objects,and they were divided into ultrasound-guided group and laparoscope treatment group according to the surgical methods,with 60 cases in each group.Therapeutic effect and clinical parameters intra-operative or postoperative in two groups were compared.Results The total efficiency rate of the treatment in ultrasound-guided group and laparoscope treatment group were 96.67％,93.33％ respectively,There was no statistically significant difference （P ＞0.05）; There were no significance in operation time [（71.03±24.31） min vs （70.92±25.04） min],hospital stay time [（4.01±2.33） d vs （3.95±2.09） d] of ultrasound-guided group and laparoscope treatment group （P ＞ 0.05）,and there were no significant differences in blood loss,urination catheter retention time,flatus,application time of antibiotics,medical expenses,activity time,time of β-HCG drops to normal quality of life score postoperative of the two groups （P ＞0.05）.Conclusion Both trans-vaginal ultrasound-guided interventional therapy and laparoscope treatment can get good therapeutic effect for ectopic pregnancy,they can bring the gospel to more patients.