目的：探讨腹腔镜保守手术治疗异位妊娠对患者再孕率及再孕时限的影响。方法48例输卵管异位妊娠患者，按随机数字法分为对照组(甲氨蝶呤药物保守治疗)和观察组(腹腔镜保守手术治疗)，各24例，比较两组患者的再孕率及再孕时限。结果观察组再孕率83.3%显著高于对照组的54.2%，差异有统计学意义(P<0.05)；观察组再孕时限短于对照组，且6个月以上或无法再孕的比例低于对照组，组间比较差异有统计学意义(P<0.05)。结论腹腔镜保守手术治疗输卵管异位妊娠疗效确切，对再孕率影响小，且再孕时限短于药物保守治疗。%Objective To investigate the influence of laparoscopic conservative surgery on re-pregnancy rate and duration in the treatment of ectopic gestation patients. Methods A total of 48 tubal ectopic gestation patients were divided by random number table into control group (drug conservative treatment by methotrexate) and observation group (laparoscopic conservative surgery treatment), with 24 cases in each group. Comparisons were made on re-pregnancy rate and duration between the two groups. Results The observation group had much higher re-pregnancy rate as 83.3%than 54.2%of the control group, and the difference had statistical significance (P<0.05). The observation group had shorter re-pregnancy duration then the control group, and it also had lower incidences of infertility over 6 months or permanent infertility than the control group. The differences between the two groups had statistical significance (P<0.05). Conclusion Laparoscopic conservative surgery provides precise effect in treating tubal ectopic gestation. It has small influence on re-pregnancy rate, and its re-pregnancy duration is shorter than drug conservative treatment.
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