未破裂型输卵管妊娠经阴道手术的临床分析

Clinical Analysis of Transvaginal Operation in Treatment of Unruptured Tubal Pregnancy

目的:探讨经阴道手术治疗未破裂型输卵管妊娠的临床疗效。方法:按照患者实际手术方式将本院妇科收治的86例输卵管妊娠患者分为试验组42例和对照组44例,试验组患者给予经阴道患侧输卵管切除术治疗,对照组患者给予经腹腔镜患侧输卵管切除术治疗,比较两组患者手术情况、术后病率、并发症及住院费用。结果:两组手术时间、术中出血量、术后排气时间和住院时间比较差异无统计学意义(P>0.05),试验组患者术后病率、并发症发生率及住院费用均低于对照组,差异具有统计学意义(P<0.05),试验组1年内妊娠率为71.43%,1年内再次宫外孕的发生率为19.04%,与对照组比较差异无统计学意义(P>0.05)。结论:经阴道手术治疗输卵管妊娠与经腹腔镜手术相比疗效相似,但具有住院费用低,腹部无伤口,术后镇痛率低,无电损伤,患者恢复快,满意度高,明显优于腹腔镜手术,临床应用价值较高。

Objective：To explore the clinical curative effect of the vagina operation in treatment of unruptured tubal pregnancy.Method：According to the actual operation method in patients with 86 cases of fallopian tube pregnancy in our hospital admitted patients were divided into experimental group 42 cases and control group with 44 cases.The patients in the exeperimental group received transvaginal tubal resection,patients incontrol group were treated with laparoscopic tubal resection,after operation,morbidity,complications and hospitalization expenses were compared. Result：Operation time,bleeding volume,possoperative exhaust time and hospital stay of two groups were no significant difference（P〉0.05）,while the postoperative morbidity,incidence of complications and hospitalization costs in the experimental group were lower than the control group,with significant difference（P〈0.05）.The experiment group for one years the pregnancy rate was 71.43%,one yeas again ectopic pregnancy rate was 19.04%,compared with the control group no significant difference conclusion.Conclusion：Transvaginal operation in treatment of tubal pregnancy by laparoscopic operation compared with similar efficacy,but with a low cost of hospitalization,abdominal wound,low rate of postoperative analgesia,no electrical injury,fast recovery,high degree of satisfaction,is obviously better than that of laparoscopic operation,the higher the value of clinical application.