腹腔镜下保留输卵管与切除输卵管治疗输卵管妊娠的比较

Contrasting effect of laparoscopic surgery for fallopian tube preservation and fallopian tube removal in tubal pregnancy

目的探讨对输卵管妊娠的患者实施腹腔镜下切除输卵管和保留输卵管的临床应用效果。方法将本院2016年1月至2017年12月收治的100例输卵管妊娠的患者作为研究对象,以手术治疗方式的差异和患者的需求不同进行分组,所有患者均行腹腔镜下手术,其中68例保留输卵管的患者纳入保留组,剩余32例切除输卵管的患者纳入切除组,比较两种手术方式的应用效果。结果两组患者治疗成功率、住院时间、术中出血量、血清HCG恢复正常的时间和异位妊娠再次发生率比较差异无统计学意义,但两组患者手术时间、正常妊娠发生率和未孕发生率比较差异有统计学意义(P<0.05)。结论在腹腔镜下实施输卵管切除术或保留术对输卵管妊娠患者均有较高的治疗成功率,但保留术与切除术比较,术后正常妊娠的概率较高,可以满足患者要再次妊娠的需求。

Objective To discuss the applied value of laparoscopic surgery for fallopian tube preservation and fallopian tube removal in tubal pregnancy.Methods 100 tubal pregnancy patients From January 2016 to December 2017 underwent the laparoscopic surgery were selected as study subjects.According to different therapies and demands,patients were assigned to preservation group(n=68)and removal group(n=32).The application effect was probed.Results There was no significant difference in treatment success rate,length of hospital stay,intraoperative blood loss,serum HCG return to normal,and reoccurrence rate of ectopic pregnancy between the two groups.There was a statistically significant difference between the rates of pregnancy(P<0.05).Conclusion The laparoscopic surgery for fallopian tube preservation and fallopian tube removal has fair effective rate.However,the laparoscopic preservation can increase the normal pregnancy rate and meet patient's demands for repeated pregnancy.