腹腔镜下不同术式治疗输卵管妊娠后对生育结局的研究

Research on Birth Outcomes After Different Laparoscopic Surgery in the Treatment of Tubal Pregnancy

目的研究腹腔镜下不同术式治疗输卵管妊娠对患者生育结局的影响。方法选取2013年5月-2015年5月本科收治的90例输卵管妊娠患者作为本次研究的对象,按照手术方法的不同分为研究组与对照组,每组45例,对照组使用腹腔镜下保守输卵管的手术治疗方法,研究组使用输卵管切除术,对两组患者进行跟踪随访,分析生育结局。结果对输卵管妊娠患者使用不同的腹腔镜下手术治疗方法,得出研究组患者不孕、宫内妊娠的发生率均低于对照组患者,对比差异具有统计学意义,P〈0.05;两组患者的异位妊娠发生率对比,差异无统计学意义,P〉0.05。结论基于腹腔镜下,对输卵管妊娠使用保守的手术治疗方法比使用腹腔镜下输卵管切除术的生育结局好,但是,不排除再次发生异位妊娠的可能性。

Objective To study the laparoscopic surgical treatment of different impact on birth outcomes in patients with tubal pregnancy. Methods Selection of undergraduate treated 90 cases of tubal pregnancy patients as the research object from May 2013 to May 2015,according to the operation method were divided into research group and the control group, 45 cases in each group. Control group using laparoscopic conservative surgical treatment of fallopian tube method,the research group used salpingectomy, followed up on two groups of patients, analysis on birth outcomes. Results In patients with tubal pregnancy using different methods of laparoscopic surgery,it is concluded that the incidence of infertility,intrauterine pregnancy group patients were lower than the control group patients,the contrast difference was statistically significant, P〈0.05. Two groups of patients for the incidence of ectopic pregnancy,there was no statistically significant difference,P〉0.05. Conclusion Laparoscopic conservative surgical treatment for tubal pregnancy was not better than using laparoscopic salpingectomy birth outcomes. However, it does not rule out the possibility of ectopic pregnancy again.