摘要
目的：探讨腹腔镜下输卵管切开取胚术联合垂体后叶素治疗输卵管妊娠的临床效果。方法选取输卵管妊娠患者共160例，采用随机数字表法分为对照组和治疗组，每组各80例；对照组采用腹腔镜下输卵管切开取胚术，治疗组则在对照组基础上术前给予垂体后叶素应用；比较两组手术时间、术中出血量、术后体温、住院时间、术后输卵管保留率、患侧输卵管通畅率、持续性异位妊娠率、宫内妊娠率及不孕率等。结果对照组手术时间、术中出血量、术后体温及住院时间分别为（20．33±2．70）min、（52．76±7．42）mL、（37．52±0．54）℃、（7．56±1．98）d，治疗组手术时间、术中出血量、术后体温及住院时间分别为（8．94±1．61）min、（16.33±2．15）mL、（37．46±0．50）℃、（5．91±1．42）d，治疗组手术时间、术中出血量及住院时间均显著优于对照组（t＝2．26、2．60、2．08，均P＜0．05），两组术后体温差异无统计学意义（t＝1．55，P＞0．05）；对照组术后输卵管保留率和患侧输卵管通畅率分别为75．00％（60／80）、52．50％（42／80），治疗组术后输卵管保留率和患侧输卵管通畅率分别为93．75％（75／80）、81．25％（65／80），治疗组术后输卵管保留率和患侧输卵管通畅率均显著高于对照组，差异有统计学意义（χ2＝9．71、10．14，均P＜0．05）；对照组持续性异位妊娠率、宫内妊娠率及不孕率分别为17．50％（14／80）、31．25％（25／80）、37．50％（30／80），治疗组持续性异位妊娠率、宫内妊娠率及不孕率分别为15．00％（12／80）、61．25％（49／80）、16．25％（13／80），两组持续异位妊娠率差异无统计学意义（χ2＝1．33，P＞0．05）；治疗组宫内妊娠率和不孕率均显著优于对照组，差异有统计学意义（χ2＝11．84、12.52，均P＜0．05）。结论腹腔镜下�
Objective To investigate clinical effects of laparoscopic salpingotomy combined with pituitrin in the treatment of tubal pregnancy.Methods 160 children with tubal pregnancy were chosen in our hospital in the period and randomly divided into two groups including control group （80 children）with laparoscopic salpingotomy treatment and treatment group （80 children）with pituitrin adjunct treatment before operation on the basis of control group.And the operation time,intraoperative bleeding volume,postoperative body temperature,hospitalization time,the retention rate of fallopian tube,fallopian tube patency rate,persistent ectopic pregnancy rate,intrauterine pregnancy rate and fertility rate of both groups were compared.Results The operation time,intraoperative bleeding volume, postoperative body temperature and hospitalization time of the control group were separately （20.33 ±2.70）min, （52.76 ±7.42）mL,（37.52 ±0.54）℃ and （7.56 ±1.98）d;the operation time,intraoperative bleeding volume, postoperative body temperature and hospitalization time of the treatment group were separately （8.94 ±1.61）min, （16.33 ±2.15）mL,（37.46 ±0.50）℃and （5.91 ±1.42）d;the operation time,intraoperative bleeding volume and hospitalization time of the treatment group were significantly better than those of the control group （t=2.26,2.60, 2.08,all P〈0.05 ）;there was no significant difference in postoperative body temperature between 2 groups （t=1.55,P〉0.05）.The retention rate of fallopian tube and fallopian tube patency rate of the control group were sepa-rately 75.00% （60/80）and 52.50%（42/80）;the retention rate of fallopian tube and fallopian tube patency rate of the control group were separately 93.75% （75/80）and 81.25% （65/80）;the retention rate of fallopian tube and fallopian tube patency rate of treatment group were significantly better than those of the control group （χ2 =9.71, 10.14,all P〈0.05）.The persistent ectopic pregnancy rate,intrauterine pregnancy ra
出处
《中国基层医药》
CAS
2015年第17期2601-2604,共4页
Chinese Journal of Primary Medicine and Pharmacy
