中国现代药物应用
中國現代藥物應用
중국현대약물응용
CHINESE JOURNAL OF MODERN DRUG APPLICATION
2015年
9期
13-14
,共2页
腹腔镜手术%异位妊娠%再孕率%再孕时限
腹腔鏡手術%異位妊娠%再孕率%再孕時限
복강경수술%이위임신%재잉솔%재잉시한
Laparoscopic surgery%Ectopic gestation%Re-pregnancy rate%Re-pregnancy duration
目的:探讨腹腔镜保守手术治疗异位妊娠对患者再孕率及再孕时限的影响。方法48例输卵管异位妊娠患者,按随机数字法分为对照组(甲氨蝶呤药物保守治疗)和观察组(腹腔镜保守手术治疗),各24例,比较两组患者的再孕率及再孕时限。结果观察组再孕率83.3%显著高于对照组的54.2%,差异有统计学意义(P<0.05);观察组再孕时限短于对照组,且6个月以上或无法再孕的比例低于对照组,组间比较差异有统计学意义(P<0.05)。结论腹腔镜保守手术治疗输卵管异位妊娠疗效确切,对再孕率影响小,且再孕时限短于药物保守治疗。
目的:探討腹腔鏡保守手術治療異位妊娠對患者再孕率及再孕時限的影響。方法48例輸卵管異位妊娠患者,按隨機數字法分為對照組(甲氨蝶呤藥物保守治療)和觀察組(腹腔鏡保守手術治療),各24例,比較兩組患者的再孕率及再孕時限。結果觀察組再孕率83.3%顯著高于對照組的54.2%,差異有統計學意義(P<0.05);觀察組再孕時限短于對照組,且6箇月以上或無法再孕的比例低于對照組,組間比較差異有統計學意義(P<0.05)。結論腹腔鏡保守手術治療輸卵管異位妊娠療效確切,對再孕率影響小,且再孕時限短于藥物保守治療。
목적:탐토복강경보수수술치료이위임신대환자재잉솔급재잉시한적영향。방법48례수란관이위임신환자,안수궤수자법분위대조조(갑안접령약물보수치료)화관찰조(복강경보수수술치료),각24례,비교량조환자적재잉솔급재잉시한。결과관찰조재잉솔83.3%현저고우대조조적54.2%,차이유통계학의의(P<0.05);관찰조재잉시한단우대조조,차6개월이상혹무법재잉적비례저우대조조,조간비교차이유통계학의의(P<0.05)。결론복강경보수수술치료수란관이위임신료효학절,대재잉솔영향소,차재잉시한단우약물보수치료。
Objective To investigate the influence of laparoscopic conservative surgery on re-pregnancy rate and duration in the treatment of ectopic gestation patients. Methods A total of 48 tubal ectopic gestation patients were divided by random number table into control group (drug conservative treatment by methotrexate) and observation group (laparoscopic conservative surgery treatment), with 24 cases in each group. Comparisons were made on re-pregnancy rate and duration between the two groups. Results The observation group had much higher re-pregnancy rate as 83.3%than 54.2%of the control group, and the difference had statistical significance (P<0.05). The observation group had shorter re-pregnancy duration then the control group, and it also had lower incidences of infertility over 6 months or permanent infertility than the control group. The differences between the two groups had statistical significance (P<0.05). Conclusion Laparoscopic conservative surgery provides precise effect in treating tubal ectopic gestation. It has small influence on re-pregnancy rate, and its re-pregnancy duration is shorter than drug conservative treatment.