腹腔镜保守手术与药物保守治疗异位妊娠的临床效果比较

摘要

目的：探讨腹腔镜保守手术与药物保守治疗异位妊娠临床效果。方法选取2012年6月-2013年7月该院收治80例异位妊娠患者为研究对象，根据患者治疗方式不同分为腹腔镜组(40例)和药物组(40例)，比较两组治疗效果。结果腹腔镜组患者住院时间、血清HCG恢复正常时间及包块消失时间均明显短于对照组，两组间各值比较差异有统计学意义(P<0.05)；腹腔镜组患者输卵管通畅率为95.00%明显高于药物组77.50%，比较差异有统计学意义(P<0.05)；腹腔镜组1年内再次发生异位妊娠率为2.50%明显低于药物组17.50%发生率，比较差异有统计学意义(P<0.05)。结论腹腔镜保守手术治疗异位妊娠较药物保守治疗可缩短患者治疗时间，提高输卵管畅通率，降低再次发生异位妊娠风险，具有显著临床治疗效果。%Objective To compare the clinical effect between laparoscopic conservative surgery and conservative drug therapy for ectopic pregnancy. Methods 80 patients with ectopic pregnancy admitted in our hospital from June 2012 to July 2013 were select-ed as the research object and according to different treatment methods were divided into laparoscopic group (n=40) and drug group (n=40). The treatment effects of the two groups were compared. Results Hospitalization time, recovery time of serum β-hCG and extinction time of mass were obviously shorter in the laparoscopic group than in the drug group, and the differences were statisti-cally significant (P<0.05); the rate of recurrent ectopic pregnancy within one year was obviously lower in the laparoscopic group (2.50%) than in the drug group(17.50%), and the difference was statistically significant(P<0.05).Conclusion Compared with con-servative drug therapy, laparoscopic conservative treatment can shorten the operation time, improve the tube recanalization rate and reduce the rate of recurrent ectopic pregnancy, therefore it clinical effect is significant.