腹腔镜外科杂志2017，Vol.22Issue(12)：956-958,3.DOI:10.13499/j.cnki.fqjwkzz.2017.12.956
腹腔镜下输卵管开窗取胚术与输卵管切除术治疗输卵管妊娠的疗效对比研究
A comparative study of laparoscopic salpingostomy and salpingectomy in the treatment of tubal pregnancy
朱爱媚 1侯翠 2李初升3
作者信息
- 1. 深圳市龙岗区第六人民医院,广东 深圳,518000
- 2. 深圳市第九人民医院
- 3. 深圳市龙岗区妇幼保健院
- 折叠
摘要
Abstract
Objective:To investigate the clinical efficacy of laparoscopic salpingostomy and salpingectomy in the treatment of tubal pregnancy. Methods:Clinical data of 185 patients who suffered from tubal pregnancy and underwent surgical treatment from Jul. 2013 to Jul. 2015 were retrospectively analyzed,they were divided into observation group and control group. The patients in observation group underwent laparoscopic salpingostomy while patients in the control group were treated with laparoscopic salpingectomy. The opera-tion time and the intraoperative blood loss were compared between the two groups. During the follow-up of 18 months,the status of per-sistent intrauterine pregnancy and the recurrence rate of tubal ectopic pregnancy were observed. Results:The operation time and the in-traoperative blood loss in the observation group were significantly less than those in the control group,the difference was statistically sig-nificant (P<0. 05). The intrauterine pregnancy rate in the observation group was 65. 33％,which was significantly higher than that in the control group (47. 13％),and the difference was statistically significant (P<0. 05). The recurrence rate of ectopic pregnancy in the observation group and the control group was 9. 18％ and 5. 75％ respectively,and the difference was not statistically significant (P>0. 05) . Conclusions:Laparoscopic salpingostomy has the advantage of safer procedure,higher intrauterine pregnancy rate,and is suitable for the child-bearing age or the childless patients. Besides,the recurrence rate of ectopic pregnancy is not significantly increased,so the safety is assured.关键词
妊娠,输卵管/输卵管开窗取胚术/输卵管切除术/腹腔镜检查/疗效比较研究Key words
Pregnancy,tubal/Salpingostomy/Salpingectomy/Laparoscopy/Comparative effectiveness research分类
医药卫生引用本文复制引用
朱爱媚,侯翠,李初升..腹腔镜下输卵管开窗取胚术与输卵管切除术治疗输卵管妊娠的疗效对比研究[J].腹腔镜外科杂志,2017,22(12):956-958,3.
