腹腔镜下输卵管切除术与非手术方案治疗异位妊娠的效果比较

Comparison on the Effects of Laparoscopic Salpingectomy and Non-Surgical Scheme in the Treatment of Ectopic Prenancy

目的探讨腹腔镜下输卵管切除术与非手术方案对异位妊娠患者血清β-HCG、CRP、性激素及妊娠情况的影响。方法84例异位妊娠患者随机分为非手术组(药物保守治疗)、腹腔镜组(腹腔镜下输卵管切除术)各42例,比较两组的治疗效果。结果腹腔镜组的总有效率及治疗后的FSH、LH水平均显著高于非手术组,治疗后的血清β-HCG水平及妊娠成功率均显著低于非手术组(P>0.05);两组治疗后的CRP水平比较,差异无统计学意义(P>0.05)。结论腹腔镜下输卵管切除术治疗异位妊娠的近期疗效显著,可下调患者血清β-HCG水平,但易影响女性卵巢功能。

Objective To explore the impact of laparoscopic salpingectomy and non-surgical scheme on the serumβ-HCG,CRP,sex hormone and pregnancy in patients with ectopic pregnancy.Methods 84 patients with ectopic pregnancy were randomly divided into non-surgical group(n=42,drug conservative treatment)and laparoscopic group(n=42,laparoscopic salpingectomy).The therapeutic effects of the two groups were compared.Results The total effective rate and the levels of FSH and LH afer treatment in the laparoscopic group were significantly higher than those in the non-surgical group,and the serumβ-HCG level after treatment and pregnancy success rate were significantly lower than those in the non-surgical group(P>0.05).No significant difference was found in the CRP level after treatment between the two groups(P>0.05).Conclusions Laparoscopic salpingectomy has a significant short-term effect in the treatment of ectopic pregnancy.It can reduce the serumβ-HCG level of patients,but it is easy to affect the ovarian function of women.