两种内窥镜治疗早期输卵管妊娠的疗效比较  

Comparison of Curative Effects for Early Tubal Pregnancy by Two Type of Endoscopes

作　　者：马建婷[1] 邵华江[1] 周丽芳[1] 张海英[1] 

机构地区：[1]浙江省余姚市人民医院,浙江余姚315400

出　　处：《实用妇产科杂志》2006年第4期219-221,共3页Journal of Practical Obstetrics and Gynecology

基　　金：宁波市医学科研计划项目(2003081)

摘　　要：目的:通过宫腔镜与腹腔镜技术治疗早期输卵管妊娠疗效的比较,寻求一种微创、无麻醉风险的早期输卵管妊娠治疗技术。方法:符合药物保守治疗条件的145例(宫腔镜组)早期输卵管妊娠患者行宫腔镜下插管注射MTX治疗,选择同期相同条件并要求保留生育功能而行腹腔镜下保守性手术的56例(腹腔镜组)进行疗效比较。结果:除了血-βHCG和孕酮恢复正常所需时间宫腔镜组长于腹腔镜组以外(P<0.05),两组的月经恢复所需时间、治愈率、住院时间、生殖功能结局等差异均无显著性(P>0.05),宫腔镜组医疗费用显著低于腹腔镜组(P<0.01)。结论:宫腔镜下插管注射MTX的药物保守疗法,不失为一种微创而可供选择的早期输卵管妊娠治疗技术。Objective： To compare the curative effects of early tubal pregnancy by hysteroscopy or laparoscopy, and to find out a better way with minimal invasion and lower anesthetic risk. Methods： 145 cases of the early tubal pregnancy according with requirement of conservative treatment were treated by Methorexate （MIX） injection under hysteroscopic tubal catheterization, meantime, another 56 cases hope to keep their reproductive ability were treated by laparoscopic conservative operation as controls. The curative effects were compared. Results： There had no remarkablely differences in recovery time of menstruation, curative rate, time of hospitalization and reproductive outcome between two groups （P 〉 0.05）, except the time that serum β-HCG and progesterone levels return to normal level （P 〈 0.05）. The charge in hysteroscopic group was lower than that of laparoscopic group （P 〈 0.01）. Conclutions： The conservative treatment with MTX injection under hysteroscopic tubal catheterization is more minimal invasion and can be selected in treatment for early tubal pregnancy.

关 键 词：内窥镜 甲氨蝶呤 保守性手术 早期输卵管妊娠 

分 类 号：R714.22[医药卫生—妇产科学]