CAJ | 학술논문

目的探讨腹腔镜异位妊娠保留输卵管治疗的临床疗效。方法对我院在2009年1月至2012年12月收治的120例异位妊娠患者均给予腹腔镜下手术治疗，随机分为观察组和对照组，观察组的患者给予甲氨蝶呤以及垂体后叶素保留输卵管治疗，对照组患者给予输卵管切除手术治疗。结果两组治疗方法在术后时间、出血量以及并发症的发生率均没有明显的差异性，（P>0.05）；观察组的持续性异位妊娠发生率比对照组患者低（P<0.05）。结论腹腔镜异位妊娠保留输卵管治疗中局部应用甲氨蝶呤能够降低持续性异位妊娠的发生率，对于有生育需求孕妇来说是一种较理想的临床治疗方法。
목적탐토복강경이위임신보류수란관치료적림상료효。방법대아원재2009년1월지2012년12월수치적120례이위임신환자균급여복강경하수술치료，수궤분위관찰조화대조조，관찰조적환자급여갑안접령이급수체후협소보류수란관치료，대조조환자급여수란관절제수술치료。결과량조치료방법재술후시간、출혈량이급병발증적발생솔균몰유명현적차이성，（P>0.05）；관찰조적지속성이위임신발생솔비대조조환자저（P<0.05）。결론복강경이위임신보류수란관치료중국부응용갑안접령능구강저지속성이위임신적발생솔，대우유생육수구잉부래설시일충교이상적림상치료방법。
Objective?To study the laparoscopic treatment of tubal ectopic pregnancy,keep the clinical curative effect. Method The data in January to December 2012 were 120 cases of ectopic pregnancy patients were given laparoscopic surgery, were randomly divided into observation group and control group and observation group patients give methotrexate and pituitrin keep tubal treatment, control group patients give tubal surgery treatment. Results The two groups after treatment in time, amount of bleeding and the incidence of complications are not significant difference (P>0.05);Observation group of persistent ectopic pregnancy rate in patients with low than the control group(P<0.05). Conclusion Laparoscopic treatment of tubal ectopic pregnancy, keep the local application methotrexate can reduce the incidence of persistent ectopic pregnancy, birth for demand for pregnant women is a kind of ideal clinical treatment.