中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2011年
10期
1327-1328
,共2页
妊娠,输卵管%药物治疗%腹腔镜检查%手术
妊娠,輸卵管%藥物治療%腹腔鏡檢查%手術
임신,수란관%약물치료%복강경검사%수술
Pregnancy,tubal%Drug therapy%Laparoscopy%Surgery
目的 探讨输卵管妊娠的治疗方法选择.方法 以有生育要求的输卵管妊娠128例为研究对象,随机分为药物治疗组(药物组)43例、腹腔镜治疗组(腹腔镜组)42例、经腹手术组(经腹组)43例,比较三组受孕状况、受孕时间、输卵管畅通情况、住院时间、出院时血中人绒毛膜促性腺激素(β-HCG)的差异.结果 腹腔镜组宫内妊娠率最高达80.9%,1年宫内妊娠率达66.7%,输卵管畅通率为78.6%,受孕时间及出院时间明显缩短,出院时β-HCG水平降低.结论 腹腔镜疗法创伤小,妊娠率高,异位妊娠率低,输卵管通畅率高,可有效提高输卵管妊娠治疗后的生育能力.
目的 探討輸卵管妊娠的治療方法選擇.方法 以有生育要求的輸卵管妊娠128例為研究對象,隨機分為藥物治療組(藥物組)43例、腹腔鏡治療組(腹腔鏡組)42例、經腹手術組(經腹組)43例,比較三組受孕狀況、受孕時間、輸卵管暢通情況、住院時間、齣院時血中人絨毛膜促性腺激素(β-HCG)的差異.結果 腹腔鏡組宮內妊娠率最高達80.9%,1年宮內妊娠率達66.7%,輸卵管暢通率為78.6%,受孕時間及齣院時間明顯縮短,齣院時β-HCG水平降低.結論 腹腔鏡療法創傷小,妊娠率高,異位妊娠率低,輸卵管通暢率高,可有效提高輸卵管妊娠治療後的生育能力.
목적 탐토수란관임신적치료방법선택.방법 이유생육요구적수란관임신128례위연구대상,수궤분위약물치료조(약물조)43례、복강경치료조(복강경조)42례、경복수술조(경복조)43례,비교삼조수잉상황、수잉시간、수란관창통정황、주원시간、출원시혈중인융모막촉성선격소(β-HCG)적차이.결과 복강경조궁내임신솔최고체80.9%,1년궁내임신솔체66.7%,수란관창통솔위78.6%,수잉시간급출원시간명현축단,출원시β-HCG수평강저.결론 복강경요법창상소,임신솔고,이위임신솔저,수란관통창솔고,가유효제고수란관임신치료후적생육능력.
Objective To investigate the choice of treatment of tubal pregnancy.Methods 128 patients with tubal pregnancy were randomly divided into 43 patients of drug group,42 cases of laparoscopy group,43 cases laparotomy group.The differences of pregnancy status,time to pregnancy,tubal smooth the situation,length of stay,discharge of blood β-HCG were compared.Results Lapamscopic surgery therapy whose intrauterine pregnancy rate reached 80.9%,one year intrauterine pregnancy rate was up to 66.7%,tubal flow rate was 78.6%,and the pregnancy and discharge time was significantly shorter,and the level of β-HCG decresaed when they would go out hospital.Conclusion Laparoscopic surgery therapy had small trauma,better pregnancy rate,low ectopic pregnancy rate,better tubal patency rate,and it could improve fertility,and make discharging quickly,and was an effective treatment for patients with tubal pregnancy.
