腹腔镜保守手术治疗输卵管妊娠临床效果及对受孕影响.docVIP

腹腔镜保守手术治疗输卵管妊娠临床效果及对受孕影响 　　 　　 　　[摘要] 目的 探讨腹腔镜保守手术治疗输卵管妊娠的临床效果以及对受孕的影响。 方法 收集82例输卵管妊娠患者作为研究对象，分为研究组与对照组，每组各41例，研究组给予腹腔镜保守手术治疗，对照组采用开腹治疗。 结果 研究组的手术时间、术中出血量、排气时间及住院时间等指标均明显优于对照组，差异有统计学意义（P＜0.05）；术后随访15个月，研究组的受孕率为73.17%，明显高于对照组的51.22%，差异有统计意义（P＜0.05）。 结论 腹腔镜保守手术治疗输卵管妊娠的创伤小、恢复快，且术后受孕率较高，是一种比较理想的治疗方法。 　　[关键词] 输卵管妊娠；腹腔镜；受孕 　　[中图分类号] R714.22+1[文献标识码] A[文章编号] 1674-4721（2014）05（c）-0024-02 　　 　　Clinical effect of laparoscopic conservative surgery in the treatment of fallopian pregnancy and its influence on conception 　　LIU Yang 　　Department of Gynecology and Obstetrics,Traditional Chinese Medicine Hospital of Taoyuan County in Hunan Province,Taoyuan 415000,China 　　[Abstract] Objective To explore the clinical effect of laparoscopic conservative surgery on fallopian pregnancy patients and its influence on conception. Methods Eighty-two patients in fallopian pregnancy were selected as research objects and evenly divided into research group and control group.The laparoscopic conservative surgery was provided in the research group,and laparotomy was adopted in the control group. Results The operation time,intraoperative amount of bleeding,time of gas exhaustion, and hospital stay in the research group were all superior to those in the control group with statistical differences (P0.05).After 15-months followed-up,the conception rate in the research group was 73.17%,much higher in comparison with that in the control group accounting for 51.22%,which displayed a statistical difference (P0.05). Conclusion For fallopian pregnancy patient,laparoscopic conservative surgery at advantages of small wound,quick recovery,and high postoperative conception rate is a relatively optimal therapeutic method. 　　[Key words] Fallopian pregnancy;Laparoscope;Conception 　　输卵管妊娠是一种常见的异位妊娠，近年来随着腹腔镜技术、高分辨B超以及高敏感度放射免疫测定血人绒毛膜促性腺激素在临床中的广泛应用，异位妊娠的早期诊断率明显提高，保守手术治疗成为该病的主要治疗方法。但临床中对输卵管妊娠的治疗必须要结合患者的年龄、妊娠时间、病变部位、是否流产、是否要求保留生育功能以及有无其他并发症等因素进行综合考虑[1-2]。随着微创外科技术的不断发展，腹腔镜手术以其自身的优势已被广泛应用到输卵管妊娠的治疗中。本研究回顾性分析本院