输卵管妊娠三种保守性治疗方法的探讨

Exploration on three kinds of conservative treatment for tubal pregnancy

目的 评价腹腔镜手术、剖腹手术和药物治疗对输卵管妊娠保守性治疗价值。方法 对 1 1 4例输卵管妊娠病人分三组分别行腹腔镜手术、剖腹手术和米非司酮药物治疗。结果 腹腔镜组手术成功率95 91 % ,剖腹组 1 0 0 % ,药物组 85 71 %。三种保守治疗方法血 β -HCG下降至正常一般需要 1～ 2周。随访56例要求生育者 ,输卵管通液通畅者 36例 ,通而不畅者 1 2例。远期随访有 36例成功妊娠。结论 输卵管妊娠三种保守性方法可保留患侧输卵管 。

Objective To evaluate the effectiveness of the laparoscopy.laparotomy and drug treatment for tubal pregnancy.Methods 114 cases of tubal pragnancy were divided into three groups for laparoscopy,laparotomy and mifepristone treatment separately.Results The success rate in the laparoscopy group was 95.91%,in the laparotomy group 100%,and the drug treatment group 85.7%.It took 1～2 weeks for bloodβ-HCG decreasing to normal.56 cases desiring to conceive were followed up, through hydrotubation,there were 36 cases whose uterine tubes were unobstructed,12 cases were unobstructed partly and through.36 cases had pregnancy through fellow-up.Conclusion The three kinds of conservative treatment for tubal pregnancy can reserve the affected salpinx and attain the objective to keep reproductive capability.