腹腔镜下保守性手术治疗输卵管妊娠113例临床分析(1)
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【摘要】目的探讨腹腔镜下保守性手术治疗输卵管妊娠的临床价值。方法将113例输卵管妊娠患者分为两组，A组行腹腔镜下保留输卵管手术58例，术中患侧输卵管注射甲氨蝶呤25 mg。B组行腹腔镜下切除输卵管手术55例，比较两组术后持续性异位妊娠发生率、宫内妊娠率和再次异位妊娠发生率。结果术后1~2年宫内妊娠率A组23例(60.53%)，B组13例(35.14%)，两组比较差异有统计学意义(P<0.05)。再次异位妊娠发生率A组9例(24.32%)，B组7例(18.42%)，两组比较差异无统计学意义(P>0.05)，两组均无持续性宫外孕发生。结论腹腔镜下保守治疗输卵管妊娠安全、有效，宫内妊娠率高，不增加持续性宫外孕及再次异位妊娠发生的风险。
【关键词】腹腔镜；输卵管妊娠；保守手术
Clinical analysis of 113 cases of laparoscopic oviduct-sparing operration for tubal pregnancy LIU Guo-min.Meishan Women and Childrens Hospital,Meishan 620010,China
【Abstract】ObjectiveTo explore the value of laparoscopic oviduct-sparing operation for tubal pregnency.Methods113 patients with tubal pregnancy were divided into two groups,58 cases accepted laparoscopic oviduct-sparing operation witch injecting 25 mg MTX into the tubal pregnancy were group A,55 patients accepted laparoscopic salpinectomy were group B ......
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