异位妊娠腹腔镜下保守性手术临床疗效的研究.docVIP

异位妊娠腹腔镜下保守性手术临床疗效的研究 　　[摘要] 目的 探讨异位妊娠腹腔镜下保守性手术临床疗效。 方法 回顾分析我院2011年1月～2013年4月收治的60例要求保留生育功能的未破裂的异位妊娠患者，根据治疗方案不同分为腹腔镜组（A组）和开腹组（B组），各30例。观察两组患者手术时间、术中出血量、术后排气时间、住院时间、输卵管通畅情况及术后1年再次宫内妊娠率。 结果 A组手术时间（32.27±5.32）min，术中出血量（35.17±9.69）mL，术后肛门排气时间（10.93±1.95）h，住院时间（4.40±0.86）d，术后输卵管通畅率86.7%，再次妊娠率80.0%； B组分别为（41.73±5.45）min、（63.67±10.66）mL、（26.00±3.69）h，（6.23±0.94）d，术后输卵管通畅率60.0%，再次妊娠率50.0%。两组相比，差异有统计学意义（P均0.05）。 结论 腹腔镜在保留生育功能的异位妊娠保守治疗中有显著优势。 　　[关键词] 异位妊娠；腹腔镜手术；开腹手术；保守性手术；保留生育功能 　　[中图分类号] R713 [文献标识码] B [文章编号] 1673-9701（2015）23-0061-03 　　Effect of ectopic pregnancy by laparoscopic conservative operation 　　LI Xiujuan YE Xiaolin TANG Linghua 　　Department of Obstetrics and Gynecology， the First Peoples Hospital of Anqing City in Anhui Province， Anqing 246003， China 　　[Abstract] Objective To evaluate the clinical efficacy of ectopic pregnancy by laparoscopic conservative surgery. Methods A total of 60 cases of unruptured ectopic pregnancy patients who required preserving reproductive function from January 2011 to April 2013 in our hospital were retrospectively researched and divided into laparoscopic treatment group（group A） and laparotomy group（group B） according to different treatment， each of 30 cases. Operation time， intraoperative blood loss， postoperative exhaust time， length of hospital stay， tubal patency， and again intrauterine pregnancy rate after 1 year were observed. Results Operation time of group A was （32.27±5.32） min， intraoperative blood loss was （35.17±9.69） mL， postoperative anal exhaust time was （10.93±1.95） h， length of hospital stay was （4.40±0.86） d， postoperative tubal patency rate was 86.7%； gain pregnancy rate was 80.0%. Operation time of group B was （41.73±5.45） min， intraoperative blood loss was （63.67±10.66） mL， postoperative anal exhaust time was （26.00±3.69） h， length of hospital stay was（6.23±0.94） d， postoperative tubal patency rate was 60.0%， again pregnancy rate was 50.0%. The difference was statistically significant（P0.05）. Conclusion La