腹腔镜下输卵管妊娠的保守治疗效果

Effect of Conservative Treatment on Tubal Pregnancy under Laparoscope

目的探讨腹腔镜下保守手术治疗输卵管妊娠的效果。方法选取2016年7月—2017年6月本院收治的输卵管妊娠患者48例,分为实验组和常规组,每组24例。常规组接受腹腔镜下输卵管切除术治疗,实验组接受腹腔镜下保守手术治疗,比较两组手术效果。结果实验组术中出血量、手术时间显著大于常规组(P<0.05)。实验组宫内妊娠率显著高于常规组(P<0.05)。实验组未孕率显著低于常规组(P<0.05)。结论输卵管妊娠患者接受腹腔镜下保守手术治疗,能够最大限度保留生育功能,更易发生宫内妊娠和再次妊娠。

Objective To investigate the effect of laparoscopic conservative surgery in the treatment of tubal pregnancy. Methods Forty-eight patients with tubal pregnancy admitted to our hospital from July 2016 to June 2017 were divided into experimental group and conventional group,with 24 cases in each group. The conventional group received laparoscopic tubal resection,the experimental group underwent laparoscopic conservative surgery,statistical comparison of the two groups of surgical results. Results The bleeding volume and operation time of the experimental group were significantly greater than those of the conventional group(P<0.05). The intrauterine pregnancy rate in the experimental group was significantly higher than that in the conventional group(P<0.05). The non-pregnancy rate in the experimental group was significantly lower than that in the conventional group(P<0.05). Conclusion Patients underwent laparoscopic conservative surgery,which can maximize the reproductive function,and more likely to have intrauterine pregnancy and re-pregnancy.