腹腔镜联合药物治疗输卵管妊娠的疗效评价

Clinical evaluation of treatment efficacy of Laparoscopy combined with drug for tubal pregnancy

目的评价腹腔镜手术联合药物治疗输卵管妊娠的临床效果。方法选取2011年8月—2013年8月确山县人民医院门诊收治的输卵管妊娠患者80例,根据随机双盲模式将其分为实验组与对照组各40例,实验组给予腹腔镜手术联合药物治疗,对照组给予腹腔镜单独治疗,比较两组患者的治疗效果及1年后的随访情况。结果实验组患者血清β-人绒毛膜促性腺激素(β-HCG)与对照组比较恢复快,且术后1年输卵管通畅率及妊娠几率明显高于对照组,差异有统计学意义(P<0.05)。结论采用腹腔镜联合药物治疗输卵管妊娠效果确切,能迅速恢复患者的血β-HCG水平,并提高术后输卵管畅通率及妊娠率,值得在临床中广泛推广。

Objective To evaluate laparoscopic tubal pregnancy combination therapy clinical results. Methods August 2011 August 2013 by tubal pregnancy were admitted to our hospital 80 cases, according to randomized double -blind mode will be divided into the experimental group and the control group of 40 cases, the experimental group received laparoscopic surgery combined with medication the control group was given alone laparoscopic treatment, and the effect of two groups were compared after 1 year of follow - up cases. The results of serum human chorionic gonadotropin β- experimental group （β- HCG） faster recovery compared with control group, and 1 year after tubal patency rate and the probability of pregnancy was significantly higher, the difference was statistically significant （P 〈 0.05）. Results Conclusion Laparoscopic tubal pregnancy combination therapy exact effect, can quickly restore blood β - HCG levels in patients, and improve flow rate and postoperative tubal pregnancy, should be popularized in clinic.