国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2013年
8期
1156-1158
,共3页
梁燕梅%全启花%谢图强%苏庆霞
樑燕梅%全啟花%謝圖彊%囌慶霞
량연매%전계화%사도강%소경하
异位妊娠%输卵管妊娠%再次妊娠%腹腔镜
異位妊娠%輸卵管妊娠%再次妊娠%腹腔鏡
이위임신%수란관임신%재차임신%복강경
Ectopic pregnancy%Tubal pregnancy%Pregnancy%Laparoscope
目的 探讨不同的保守方式或方法治疗未破裂型输卵管妊娠后的2年内再次妊娠的情况,寻求对输卵管妊娠较好的治疗方法及对再次妊娠影响较小治疗方法.方法 总结分析2005年1月至2009年12月于广东省高要市人民医院采用不同治疗方法治疗的123例未破裂型异位妊娠患者的临床资料,根据不同的保守治疗方法分为腹腔镜组(A组),行腹腔镜下输卵管造口术69例;药物组(B组)予米非司酮或米非司酮加甲氨蝶呤治疗54例.比较两组术后随访2年术后月经恢复情况,再次妊娠时间、宫内妊娠、再次异位妊娠及继发不孕的发生情况.结果 2年内宫内妊娠率A组为50.72％(35/69)高于B组35.19％ (19/54)、平均再次妊娠时间A组(10.53±2.05)月小于B组(14.12±3.15)月,继发性不孕A组27.54％(19/69)小于B组38.89％(21/54),再次异位妊娠A组21.74％(15/69),B组25.92％(14/54).两组在再次妊娠时间、宫内妊娠及继发不孕方面比较,差异有统计学意义(P＜0.05),再次异位妊娠两组间差异无统计学意义(P＞0.05).结论 腹腔镜手术保守治疗输卵管妊娠患者优于药物保守治疗.
目的 探討不同的保守方式或方法治療未破裂型輸卵管妊娠後的2年內再次妊娠的情況,尋求對輸卵管妊娠較好的治療方法及對再次妊娠影響較小治療方法.方法 總結分析2005年1月至2009年12月于廣東省高要市人民醫院採用不同治療方法治療的123例未破裂型異位妊娠患者的臨床資料,根據不同的保守治療方法分為腹腔鏡組(A組),行腹腔鏡下輸卵管造口術69例;藥物組(B組)予米非司酮或米非司酮加甲氨蝶呤治療54例.比較兩組術後隨訪2年術後月經恢複情況,再次妊娠時間、宮內妊娠、再次異位妊娠及繼髮不孕的髮生情況.結果 2年內宮內妊娠率A組為50.72％(35/69)高于B組35.19％ (19/54)、平均再次妊娠時間A組(10.53±2.05)月小于B組(14.12±3.15)月,繼髮性不孕A組27.54％(19/69)小于B組38.89％(21/54),再次異位妊娠A組21.74％(15/69),B組25.92％(14/54).兩組在再次妊娠時間、宮內妊娠及繼髮不孕方麵比較,差異有統計學意義(P＜0.05),再次異位妊娠兩組間差異無統計學意義(P＞0.05).結論 腹腔鏡手術保守治療輸卵管妊娠患者優于藥物保守治療.
목적 탐토불동적보수방식혹방법치료미파렬형수란관임신후적2년내재차임신적정황,심구대수란관임신교호적치료방법급대재차임신영향교소치료방법.방법 총결분석2005년1월지2009년12월우광동성고요시인민의원채용불동치료방법치료적123례미파렬형이위임신환자적림상자료,근거불동적보수치료방법분위복강경조(A조),행복강경하수란관조구술69례;약물조(B조)여미비사동혹미비사동가갑안접령치료54례.비교량조술후수방2년술후월경회복정황,재차임신시간、궁내임신、재차이위임신급계발불잉적발생정황.결과 2년내궁내임신솔A조위50.72％(35/69)고우B조35.19％ (19/54)、평균재차임신시간A조(10.53±2.05)월소우B조(14.12±3.15)월,계발성불잉A조27.54％(19/69)소우B조38.89％(21/54),재차이위임신A조21.74％(15/69),B조25.92％(14/54).량조재재차임신시간、궁내임신급계발불잉방면비교,차이유통계학의의(P＜0.05),재차이위임신량조간차이무통계학의의(P＞0.05).결론 복강경수술보수치료수란관임신환자우우약물보수치료.
Objective To explore the different conservative manners or methods of treatment for unruptured tubal pregnancy 2 years after pregnancy,seeking better treatment for tubal pregnancy and on subsequent pregnancy affected treatment method.Methods We summarized and analyzed the clinical data of 123 cases of unruptured ectopic pregnancy patients treated by different methods from January 2005 to December 2009 in our hospital.According to different methods of conservative treatment they were divided into laparoscopic group (group A),using Laparoscopic salpingostomy in 69 cases.Drug group (group B) with 54 cases was given mifepristone or mifepristone combined with methotrexate.Comparison of two groups were followed up for 2 years after menstrual recovery,Re-pregnancy,intrauterine pregnancy,ectopic pregnancy and infertility again occurrence.Results Within 2 years the intrauterine pregnancy rate was 50.72％ (35/69) in group A,higher than that in the group B [35.19％(19/54)].Average pregnancy time in group A was (10.53 ± 2.05) months,shorter than that of the group B [(14.12 ± 3.15) months].Secondary infertility in group A was 27.54％(19/69),lower than that of the group B,38.89％(21/54).Repeated ectopic pregnancy in group A was 21.74％ (15/69),while the group B was 25.92％ (14/54).The pregnancy time,intrauterine pregnancy and secondary infertility in comparison in two groups,the difference was statistically significant (P＜0.05),the difference between the repeated ectopic pregnancy in two groups was not statistically significant (P＞0.05).Conclusions The operation of laparoscopic conservative treatment for tubal pregnancy patients is better than conservative treatment.
