摘要
Abstract
Objective To comparatively analyze the morphological recovery and recanalization of fallopian tubes in patients after tubal pregnancy treated by drug treatment , retaining the abdominal and laparoscopic operation .Methods Seventy-two cases of patients with tubal pregnancy who had fertility requirements were selected , during whom 20 cases were treated by drug therapy (group A), 18 cases by abdominal operation (group B), and 34 cases by laparoscopic operation ( group C) .The patients returned to hospital after successful retaining oviduct treatment 3-6 months and underwent a day of laparoscopy to observe the morphological recovery and patency of fallopian tubes .Results The morphological recovery of the oviduct:group A had 1 case of fistula formation , 8 cases of obstruction nodules , 2 cases of hydrocephalus dilatation and 3 cases of adhesion formation;they were 5, 2, 5 and 8 cases in group B;and 8, 3, 7, 4 cases in group C.The incidence of obstruction nodule in group A was higher than that of groups B and C , the adhesion formation rate of group B was higher than that of groups A and C , that in group C was higher than that in group A , all P<0.05.There were 12, 15 and 8 cases with tubal patency in groups A , B and C, all P>0.05.Conclusion The recanalization rate has no significant difference in tubal pregnancy patients treated by 3 different methods , but there are some differences between tubal shape recovery .关键词
异位妊娠/输卵管/药物治疗/外科手术/腹腔镜技术Key words
ectopic pregnancy/fallopian tubes/drug therapy/surgical procedures/laparoscopy分类
医药卫生
