输卵管妊娠行切开挤胚显微吻合术与药物保守治疗的临床对照研究  

Clinical trial on incision squeezing embryo microscopic anastomosis and drug conservative treatment of tubal pregnancy

作　　者：阳晓敏[1] 卢毓芳[1] 陈静平[1] 郑小敏[1] 刘滨[1] 梁金艳[1] 

机构地区：[1]广西医科大学第八附属医院广西贵港市人民医院妇科,贵港市537100

出　　处：《广西医学》2007年第9期1327-1329,共3页Guangxi Medical Journal

基　　金：广西贵港市科学研究与技术开发计划课题(贵科200730)

摘　　要：目的评价输卵管妊娠患者行切开挤胚显微吻合术与药物保守治疗的临床疗效。方法对116例输卵管妊娠患者,根据病情行腹部小切口显微镜下横行切开挤胚吻合术65例,药物保守治疗术51例。结果术后随访1-4年,手术组术后输卵管通畅率（89.2%）、正常宫内妊娠率（70.8%）均高于对照组（分别为72.3%和51.1%）,手术组再次异位妊娠率（10.8%）低于对照组（25.5%）。结论输卵管妊娠切开挤胚显微吻合术疗效及成功率高于药物保守治疗。Objective To evaluate efficacy of incision crowded embryo microscopic anastomosis and the drug conservative treatment of tubal pregnancy patients. Methods 116 cases of tubal pregnancy disease undertook incision squeezing embryo anastomosis with small abdominal incision under the microscope or drugs conservative therapy. Results The followed-up lasted for 1 - 4 years. In experimental group,tubal pateney rate ,normal intrauterine pregnancy rate were higher than those in control group （P 〈 0.05 ） the eetopie pregnancy rate lower than those in control group （ P 〈 0.05 ）. Conclusion Tubal pregnancy incision squeezing embryo microscopic anastomosis efficacy and success was higher rate than that of conservative treatment.

关 键 词：输卵管妊娠 切开挤胚显微吻合术 药物保守治疗 

分 类 号：R714.22[医药卫生—妇产科学]