腹腔镜保守治疗输卵管妊娠的临床效果观察

Clinical Observation of Laparoscopic Conservative Treatment of Tubal Pregnancy

目的研究腹腔镜保守治疗输卵管妊娠的临床效果。方法选取我院2011年5月~2015年5月治疗的输卵管妊娠患者115例,根据当时具体治疗情况分为两组,其中对照组47例进行传统开腹手术治疗,观察组68例则采取腹腔镜保守治疗。对比两组患者的手术时间、住院时间以及术中出血量数据,再对术后复查情况（输卵管通畅、宫内妊娠、再发异位妊娠）进行比较。结果观察组在治疗后的手术时间、住院时间均短于对照组,手术中的出血量少于对照组,P〈0.05;且该组的输卵管通畅、宫内妊娠、再发异位妊娠情况均优于对照组（P〈0.05）。结论采取腹腔镜下进行保守治疗输卵管妊娠的临床效果佳。

Objective To study the clinical effect of laparoscopic conservative treatment of tubal pregnancy. Methods 115 cases of tubal pregnancy in our hospital from May 2011 to May 2015 were selected, according to the specific treatment at the time, they were divided into two groups, 47 cases in the control group were treated with traditional open surgery, while 68 cases in the observation group were treated with laparoscopic conservative treatment. The operation time, hospitalization time and intraoperative blood loss data were compared between the two groups, and then compared with the postoperative review（tubal patency, intrauterine pregnancy, recurrent ectopic pregnancy）. Results The observation groups in operative time, hospitalization time was shorter than the control group, intraoperative bleeding was less than the control group, P〈0.05, and the group of tubal patency, intrauterine pregnancy and recurrent ectopic pregnancy were better than the control group（P〈0.05）. Conclusion The clinical effect of laparoscopic conservative treatment of tubal pregnancy.