异位妊娠腹腔镜保守治疗手术后输卵管通畅的效果分析

Effect analysis of tubal patency after laparoscopic conservative treatment of ectopic pregnancy

目的探析异位妊娠腹腔镜保守治疗手术后输卵管通畅的效果。方法 100例异位妊娠患者,采用住院病历尾号单复数法分为常规组和实验组,每组50例。常规组给予常规药物治疗,实验组则采用腹腔镜保守手术治疗,比较两组患者的输卵管通畅、妊娠情况及血β-人绒毛膜促性腺激素(β-HCG)恢复时间。结果实验组患者治疗后输卵管通畅率96.00%、妊娠率94.00%明显高于常规组的72.00%、70.00%,差异具有统计学意义(P<0.05)。实验组患者血β-HCG恢复时间为(9.56±2.45)h,明显短于常规组的(20.45±5.23)h,差异具有统计学意义(t=13.333,P<0.05)。结论异位妊娠患者实施腹腔镜保守手术治疗效果较佳,可保留输卵管,促进输卵管通畅,并增加患者妊娠几率,临床推广应用价值极高。

Objective To discuss and analyze the effect of tubal patency after laparoscopic conservative treatment of ectopic pregnancy. Methods A total of 100 ectopic pregnancy patients were hospital tail number method into conventional group and experimental group, with 50 cases in each group. The conventional group received conventional medicine for treatment, and the experimental group received laparoscopic conservative treatment. Comparison were made on tubal patency, pregnancy and blood β human chorionic gonadotropin（β-HCG） recovery time between the two groups. Results After treatment, the experimental group had obviously higher tubal patency rate as 96.00% and pregnancy rate as 94.00% than 72.00% and 70.00% in conventional group, and their difference was statistically significant（P〈0.05）. The experimental group had obviously shorter blood β-HCG recovery time as（9.56±2.45） h than（20.45±5.23） h in the conventional group, and the difference was statistically significant（t=13.333, P〈0.05）. Conclusion Implementation of llaparoscopic conservative treatment provides good effect in treating patients with ectopic pregnancy, and it can retain the fallopian tubes, promote tubal patency, and increase the chance of pregnancy. It contains high clinical promotion and application value.