腹腔镜手术联合米非司酮口服与开腹手术治疗输卵管间质部妊娠的效果比较  

Clinical Control Study on Laparoscopy Combined with Drug Therapy vs Laparotomy for the Treatment of Interstitial Tubal Pregnancy

作　　者：周绍明[1] 龚颖萍[1] 马赟[1] 李博[1] 吴湘[1] 

机构地区：[1]湖南省妇幼保健院,湖南长沙410008

出　　处：《医学临床研究》2008年第11期2038-2040,共3页Journal of Clinical Research

摘　　要：【目的】比较腹腔镜手术联合米非司酮口服与开腹手术治疗输卵管间质部妊娠的效果。【方法】对2004年1月至2008年1月在本院住院治疗的69例输卵管间质部妊娠患者按手术方式不同分为腹腔镜联合米非司酮组(46例)和开腹手术组(23例),对临床资料和预后进行比较。【结果】腹腔镜联合米非司酮组较开腹手术的手术时间短,住院时间短(P<0.05),术后生殖功能恢复完全,与开腹手术无显著性差异(P>0.05)。【结论】腹腔镜联合药物治疗输卵管间质部妊娠能达到微创效优的效果,值得临床推广应用。[Objective]To explore the value of laparoscopy combined with drug therapy in interstitial tubal pregnancy.[Methods] Sixty nine cases with interstitial tubal gestation were divided into laparoscopy combined with drug therapy group（n=46） and laparotomy group（n=23）.The clinical data and therapeutic effect were compared.[Results] In the laparoscopy combined with drug therapy group,the clinical effect and reproduction rate were the same as those in laparotomy group,and the bleeding volume and injury were significantly less,the operation time was shorter and the postoperative recovery was more rapid.[Conclusion]The laparoscopy combined with drug therapy is mini-invasive and good effective for the treatment of interstitial tubal pregnancy,so it should be popularized to clinical practice.

关 键 词：妊娠 输卵管/外科学 妊娠 输卵管/药物疗法 外科手术 腹腔镜 

分 类 号：R714.221[医药卫生—妇产科学]