世界中西医结合杂志
世界中西醫結閤雜誌
세계중서의결합잡지
WORLD JOURNAL OF TRADITIONAL CHINESE AND WESTERN MEDICINE
2009年
7期
505-507
,共3页
输卵管妊娠%保守治疗%腹腔镜手术
輸卵管妊娠%保守治療%腹腔鏡手術
수란관임신%보수치료%복강경수술
Tubal Pregnancy%Conservative treatment%Laparoscopic operation
目的 分析并评价腹腔镜保守性手术治疗与药物治疗输卵管妊娠的临床效果.方法 对有生育要求的106例输卵管妊娠,45例患者实施单次肌肉注射甲氨蝶呤(药物治疗组),61例实施腹腔镜保守性手术治疗(手术治疗组).结果 手术治疗组平均治疗时间为(9±4)d,成功率为100%,治疗后输卵管通畅率为91.80%,宫内妊娠率为68.85%;药物治疗组平均治疗时间为(21±7)d,成功率为86.67%,治疗后输卵管通畅率为61.54%,宫内妊娠率为41.03%;两组间比较有显著性差异(P＜0.05).两组再次异位妊娠发生率比较无显著性差异(P＞0.05).结论 药物治疗和手术治疗均有较高的成功率,但两组比较腹腔镜下保守性手术治疗有明显优势.
目的 分析併評價腹腔鏡保守性手術治療與藥物治療輸卵管妊娠的臨床效果.方法 對有生育要求的106例輸卵管妊娠,45例患者實施單次肌肉註射甲氨蝶呤(藥物治療組),61例實施腹腔鏡保守性手術治療(手術治療組).結果 手術治療組平均治療時間為(9±4)d,成功率為100%,治療後輸卵管通暢率為91.80%,宮內妊娠率為68.85%;藥物治療組平均治療時間為(21±7)d,成功率為86.67%,治療後輸卵管通暢率為61.54%,宮內妊娠率為41.03%;兩組間比較有顯著性差異(P＜0.05).兩組再次異位妊娠髮生率比較無顯著性差異(P＞0.05).結論 藥物治療和手術治療均有較高的成功率,但兩組比較腹腔鏡下保守性手術治療有明顯優勢.
목적 분석병평개복강경보수성수술치료여약물치료수란관임신적림상효과.방법 대유생육요구적106례수란관임신,45례환자실시단차기육주사갑안접령(약물치료조),61례실시복강경보수성수술치료(수술치료조).결과 수술치료조평균치료시간위(9±4)d,성공솔위100%,치료후수란관통창솔위91.80%,궁내임신솔위68.85%;약물치료조평균치료시간위(21±7)d,성공솔위86.67%,치료후수란관통창솔위61.54%,궁내임신솔위41.03%;량조간비교유현저성차이(P＜0.05).량조재차이위임신발생솔비교무현저성차이(P＞0.05).결론 약물치료화수술치료균유교고적성공솔,단량조비교복강경하보수성수술치료유명현우세.
Objective To analyze and assess the clinical results of conservative operation and medicinal therapy for tubal pregnancy(TP).Methods Of 106 cases with TP requirement,45 cases were treated with single muscular injection of methotrexate(MTX)(medicinal therapy group)and 61 cases were treated with laparoscopic conservative operation(operation group).Results In operation group,mean treatment time was(9±4)days and successful rate was 100%;after treatment,the rate of tubal patency was 91.80% and the rate of intrauterine pregnancy was 68.85%.In medicinal therapy group,mean treatment time was(21±7)days and successful rate was 86.67%;after treatment,the rate of tubal patency was 61.54% and the rate of intrauterine pregnancy was 41.03,which presented significant difference in group comparison(P＜0.05).The difference was not statistically significant in the recurrence of ectopic pregnancy in group comparison(P＞0.05).Conclusion Either medicinal therapy and operation can achieve quite high successful rate,but laparoscopic conservative operation demonstrates apparent advantages in group comparison.
