CAJ | 학술논문

目的：观察输卵管妊娠的两种腹腔镜保守手术方式的妊娠结局。方法：选择因异位妊娠行腹腔镜保守手术的患者58例，随机分为两组，实验组30例，输卵管切开取胚后，行输卵管缝合术，对照组28例，行输卵管切开取胚，不行输卵管缝合。术后6个月、1年、2年电话随访3次。结果：实验组30例，2年内13例宫内妊娠，宫内妊娠率43.3%；对照组28例，2年内6例宫内妊娠，宫内妊娠率21.4%。两组宫内妊娠率比较，差异有显著意义（P＜0.05）。结论：腹腔镜下输卵管切开取胚，同时行输卵管切口缝合，术后宫内妊娠率较不行输卵管缝合者高。
목적：관찰수란관임신적량충복강경보수수술방식적임신결국。방법：선택인이위임신행복강경보수수술적환자58례，수궤분위량조，실험조30례，수란관절개취배후，행수란관봉합술，대조조28례，행수란관절개취배，불행수란관봉합。술후6개월、1년、2년전화수방3차。결과：실험조30례，2년내13례궁내임신，궁내임신솔43.3%；대조조28례，2년내6례궁내임신，궁내임신솔21.4%。량조궁내임신솔비교，차이유현저의의（P＜0.05）。결론：복강경하수란관절개취배，동시행수란관절구봉합，술후궁내임신솔교불행수란관봉합자고。
Objective: Observation of fallopian tube pregnancy pregnancy outcomes of laparoscopic conservative surgery. Methods:Choice for ectopic pregnancy line of 58 patients with laparoscopic conservative surgery,were randomly divided into two groups,the experimental group 30 cases,fallopian tube incision after embryo,oviduct suture,28 cases in the control group,the slitting line tubal embryo,no tubal suture.After 6 months,1 year,2 years follow-up phone 3 times.Results:The experimental group 30 cases,2 years,13 cases of intrauterine pregnancy,intrauterine pregnancy rate of 43.3%; 28 cases in the control group,2 years,6 cases of intrauterine pregnancy,intrauterine pregnancy rate was 21.4%.Two groups of intrauterine pregnancy rate comparison,has a significant difference (P<0.05).Conclusion:Cut laparoscopic tubal embryo,oviduct suture incision at the same time,postoperative intrauterine pregnancy rate is not high tubal suture.