摘要
目的:探讨输卵管妊娠3种保守疗法对患侧再通和再孕的关系。方法:对经治疗后随访3a的138例输卵管妊娠患者作分析。138例按治疗方法分3组,腹腔镜组(n=48),开腹组(n=70),药物组(n=20)。结果:患侧输卵管再通率:腹腔镜组为70.8%,开腹组为62.8%,药物组为25.0%(腹腔镜组vs开腹组P>0.05;腹腔镜组和开腹组vs药物组P<0.01)。宫内再孕率:腹腔镜组为62.5%,开腹组为54.3%,药物组为0.0%。(腹腔镜vs开腹组P>0.05;腹腔镜和开腹组vs药物组,P<0.01)。结论:输卵管妊娠行保守的腹腔镜手术和开腹手术的患侧的再通率和宫内再孕率显著高于药物保守疗法,但行保守的腹腔镜手术和开腹手术两者之间的患侧再通率和宫内再孕率差异无显著性(P>0.05),治疗后的妊娠率与治疗方式及对侧输卵管是否受损有关;保守输卵管复通术能替代输卵管切除术。
Objective： To evaluate the therapeutic effect of 3 conservative treatments on recanalization and repregnancy in tubal pregnancy. Methods, A total of 138 patients with fallopian pregnancy received 3 treatments： laparoscopy salpingostomy （LS, n=48）, classical salpingostomy （CS. n=70）, and drug therapy （DT. n=20）, and followed up for 3 years. Results： Recanalization and repregnancy rates in LS and CS groups were significantly higher than those in DT group （P〈0. 01）,but there was no difference between LS and CS groups. Conclusion： The conservative LS and CS can achieve a satisfied pregnant effect in the treatment of oviductal pregnancy.
出处
《广东医学院学报》
2005年第4期379-381,共3页
Journal of Guangdong Medical College
