Objective:To investigate the clinical efficacy of laparoscopic salpingostomy and salpingectomy in the treatment of tubal pregnancy. Methods:Clinical data of 185 patients who suffered from tubal pregnancy and underwent surgical treatment from Jul. 2013 to Jul. 2015 were retrospectively analyzed,they were divided into observation group and control group. The patients in observation group underwent laparoscopic salpingostomy while patients in the control group were treated with laparoscopic salpingectomy. The opera-tion time and the intraoperative blood loss were compared between the two groups. During the follow-up of 18 months,the status of per-sistent intrauterine pregnancy and the recurrence rate of tubal ectopic pregnancy were observed. Results:The operation time and the in-traoperative blood loss in the observation group were significantly less than those in the control group,the difference was statistically sig-nificant (P<0. 05). The intrauterine pregnancy rate in the observation group was 65. 33％,which was significantly higher than that in the control group (47. 13％),and the difference was statistically significant (P<0. 05). The recurrence rate of ectopic pregnancy in the observation group and the control group was 9. 18％ and 5. 75％ respectively,and the difference was not statistically significant (P>0. 05) . Conclusions:Laparoscopic salpingostomy has the advantage of safer procedure,higher intrauterine pregnancy rate,and is suitable for the child-bearing age or the childless patients. Besides,the recurrence rate of ectopic pregnancy is not significantly increased,so the safety is assured.%目的:探讨腹腔镜下输卵管切开取胚术与输卵管直接切除术治疗输卵管妊娠的临床疗效.方法:回顾分析2013年7月至2015年7月手术治疗的185例输卵管妊娠患者的临床资料,其中观察组行腹腔镜下输卵管切开取胚术,对照组行腹腔镜下输卵管切除术.对比两组手术时间、术中出血量;术后随访18个月,观察患者术后宫内持续妊娠状态及输卵管异位妊娠再发生率.结果:观察组手术时间、术中出血量优于对照组,差异有统计学意义(P<0.05),术后宫内妊娠率(65.33％)高于对照组(47.13％),差异有统计学意义(P<0.05).两组异位妊娠再发生率(9.18％vs.5.75％)差异无统计学意义(P>0.05).结论:腹腔镜下输卵管切开取胚术手术过程更为安全,宫内妊娠率高,适于育龄期或未生育的患者,且异位妊娠再发生率并未显著增加,安全性较好.
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