摘要
目的：探讨腹腔镜治疗未破裂型异位妊娠的疗效分析,寻找更佳的治疗方案。方法：回顾性分析2008年3月~2010年10月在我院收治的60例未破裂型异位妊娠患者,随机分为两组：试验组和对照组各30例,密切观察两组患者的临床疗效。结果：治疗组未破裂型异位妊娠患者的β-HCG转阴（10.1d）、包块消失（12.5d）以及异位妊娠率（6.5%）低于对照组的β-HCG转阴（18.2d）、包块消失（31.2d）以及异位妊娠率（25.8%）,治疗组未破裂型异位妊娠患者的输卵管碘油造影再通率（94.0%）以及宫内妊娠成功率（69.8%）高于输卵管碘油造影再通率（73.5%）以及宫内妊娠成功率（30.5%）,两组间有显著性差异（P〈0.05）,具有统计学意义。但是两组未破裂型异位妊娠患者的治愈率相比较,两组间的差异不明显（P〉0.05）。结论：腹腔镜下输卵管切开取胚术在临床上可以作为保留患者生育功能的首选治疗方法,腹腔镜下输卵管切开取胚术是治疗未破裂型异位妊娠患者的一种安全、有效的治疗方法。
Objective：To study Efficacy analysis of laparoscopic treatment of unruptured ectopic pregnancy.To find better treatments.Methods：During the period March 2008 to October 2010,60 cases of the unruptured ectopic pregnancy patients for appendectomy were performed.and all patients were divided into 2 groups randomly： test group and control group.Close observation of the clinical efficacy of the two groups of patients.Results：Treatment group of unruptured ectopic pregnancy the patients with β-HCG was negative（10.1d）,and the mass disappeared（12.5d）,and ectopic pregnancy rate（6.5%） lower than the control group,β-HCG was negative（18.2d）,the mass disappeared（31.2d）,and ectopic pregnancy（25.8%）,high treatment group unruptured ectopic pregnancy in patients with tubal lipiodol recanalization rate（94.0%） and intrauterine pregnancy success rate（69.8%）lipiodol in tubal recanalization rate（73.5%）,as well as the success rate of intrauterine pregnancy（30.5%）,there are significant differences（P0.05） between the two groups statistically significant.But the cure rate of the two sets of unruptured ectopic pregnancy were compared,no significant difference between the two groups（P 0.05）.Conclusion：Embryo surgery laparoscopic tubal incision can be used as the preferred method of treatment to retain reproductive function in patients with clinical,laparoscopic tubal incision Embryo surgery is the treatment of unruptured ectopic pregnancy in patients with a safe,effective treatment.
出处
《中国医药导刊》
2013年第3期415-416,共2页
Chinese Journal of Medicinal Guide
关键词
腹腔镜
异位妊娠
甲氨蝶呤
Laparoscopy
Ectopic pregnancy
Methotrexate
