腹腔镜联合中西药治疗未破裂型输卵管妊娠_医学论文.docVIP

腹腔镜联合中西药治疗未破裂型输卵管妊娠_医学论文 腹腔镜联合中西药治疗未破裂型输卵管妊娠_医学论文 【摘要】 目的：探讨腹腔镜联合中西药治疗未破裂型输卵管妊娠的治疗效果，观察术后持续性异位妊娠（ PEP) ：重复性 异位妊娠、宫内妊娠的发生率。方法：对 30 例要求保留生育的未破裂型输卵管妊娠患者，采用腹腔镜下输卵管妊娠物清除结合局部冲洗和局部注射氨甲喋呤的方法治疗，并观察术后血人绒毛膜促性腺激素的变化，并判断 PEP 发生率，术后当天使用康复消炎栓，月经恢复即可计划妊娠，并配以输卵管通液术治疗，追踪 24 个月的生育结果，并与同期经腹保守 性手术 30 例相比较。结果：腹腔镜联合中西药治疗未破裂型输卵管妊娠无 1 例 PEP 发生，与同期经腹保守性手术30 例相比较，2 年内宫内妊娠率明显提高，降低了重复性异位妊娠发生率和不孕率，两组比较差异有显著性（ P lt 0.01）。 结论：腹腔镜保守手术联合中西药物治疗是治疗未破裂型输卵管妊娠的一种较好的方法，此方法可减少 PEP 的发生，降低了重复性异位妊娠发生率和不孕率，明显提高宫内妊娠率。 【关键词】 输卵管妊娠；腹腔镜保守性手术；氨甲喋呤（MTX）；中西药； 持续性异位妊娠；重复性异位妊娠；宫内妊娠率 〔Abstract〕 Objective To evaluate the effect of the treatment in the patients suffering from non-rupture tubal pregnancy, by laparoscopic surgery combining with Chinese Native Medicine and Western Medicine, After the incidence of persistent ectopic pregnancy (PEP)、recurrent ectopic pregnancy and intrauterine pregnancy in these patients. Methods Thirty patients who desired to conserve function of fertility, suffring from non-rupture tubal pregnancy were treated by laparoscopic surgery combining with Chinese Native Medicine and Western Medicine. The laparoscopic surgery consisited of extraction of embryonic mass combining with local douche and injection of methothexate. The serum HCG of these patients was examined postoperatively, to evaluate the incidence of PEP. Chinese Native Medicine Kangfu Xiaoyan Bolt was used postoperatively, plans for pregnancy after menstruation restoration, and hydrotubation following the surgery. All patients were followed up for the outcome, and compares with the same period after 30 abdomen conservative surgery. Results The operations was no occurance of PEP, and compares with abdomen conservative surgery, in 2 years the chance for intrauterine pregnancy can be raised obviously, the chance for recurrent ectopic pregnancy and sterility can be reduced, there is significant difference between these two groups. Conclusion It is a better method choice in treatment of non-rupture tubal pregnancy. This method may preve