腹腔镜保守手术联合MTX和米非司酮治疗输卵管妊娠的疗效观察

目的:探讨腹腔镜保守手术联合MTX+米非司酮治疗输卵管妊娠患者术后患侧输卵管通畅程度和宫内妊娠再次输卵管妊娠状况,方法:对2004年11月份～2006年12月份在我院接受腹腔镜保守治疗手术患者80例作为观察组,观察术中出血量、手术时间、血HCG下降时间、住院天数,术后输卵管通畅程度,再次异位妊娠发生率、宫内妊娠率,并与同期接受患侧输卵管切除术患者40例进行分析比较。结果:术后输卵管通畅率观察组95%,对照组45%,再次异位妊娠发生率观察组5%,对照组12.5%,血HCG下降天数观察组16.3±0.6天,对照组11.50±0.4天,二年宫内妊娠率观察组61.26%,对照组20%,两组比较,差异有显著性,观察两组住院天数,术中出血量,手术时间,并作出比较,无显著差异。结论:腹腔镜保守手术联合MTX+米非司酮治疗输卵管妊娠具有微创、安全、再次宫内妊娠率高,再次输卵管妊娠低等优点,适用于年轻有生育要求的患者。

Objective:To explore the conservative laparo-scopic surgery combined MTX+mifepristone treatment of patients with tubal pregnancy after tubal patency side and intrauterine pregnancy,tubal pregnancy situation again,Method:November 2004-December 2006 I am in the hospital for laparoscopic surgery in patients with conservative treatment of 80 cases observed as a group to observe the amount of blood HCG decline in the number of days of hospitalization time,after tubal patency,once again the incidence of ectopic pregnancy,intrauterine pregnancy,with the same period salpingectomy affected patients compared with 40 cases for analysis.Results:tubal patency rate after 95% of the ob-servation group 45% of the control group,once again the incidence of ectopic pregnancy observer group 5%,12.5% in the control group ,blood HCG decline in the number of days to observe group 16.3±0.6 days,11.5±0.4 days in the control group,intrauterine pregnancy in the two years after observe group 61.26%,20% of the control group,compared the two groups,there was a significant difference to observe two days of hospitalization.Surgery the amountof time for surgery and to compare,there was no significant difference.Conclusion:Laparoscopic conservative surgery with MTX+ mifepristone treatment of tubal pregnancy with a minimally invasive,safe,once again the high intrauterine pregnancy,tubal pregnancy and low again for young childen are required by the patients.