孕前腹腔镜盆腔干预预防重复异位妊娠的临床价值  

VALUE OF LAPAROSCOPIC TREATMENT BEFORE PREGNANCY TO PREVENT RECURRENT ECTOPIC PREGNANCY

作　　者：周剑利[1] 韩素新[1] 于作芳[1] 

机构地区：[1]华北煤炭医学院附属医院妇产科,唐山063000

出　　处：《现代预防医学》2009年第22期4397-4398,4400,共3页Modern Preventive Medicine

摘　　要：[目的]探讨孕前盆腔腹腔镜干预(评估、必要时手术)在预防重复异位妊娠中的临床价值。[方法]回顾性分析126例输卵管妊娠妇女经腹腔镜手术治疗后的生育状况,按1/2配比将其分为观察组与对照组,两组患者均进行腹腔镜下异位妊娠清除术;观察组采用腹腔镜孕前盆腔干预(评估、必要时行粘连松解或和输卵管修复成形术),对照组术后仅行常规抗感染治疗。[结果]孕前采用腹腔镜盆腔干预的观察组,其重复异位妊娠率为7.1%,宫内妊娠率为64.3%,与对照组(21.4%、36.9%)相比差异均有统计学意义(P﹤O.05);观察组和对照组的不孕率分别为28.6%和41.7%(P﹥0.05)。[结论]首次异位妊娠的患者再次妊娠前,予腹腔镜盆腔干预有利于降低重复异位妊娠的发生率。[Objective] To investigate the value of laparoscopic treatment before pregnancy to prevent recurrent ectopic pregnancy.[Methods] A retrospective case-control study was carried out to analysis the reproductive outcome of 126 women after laparoscopic management of tube pregnancy.The patients were divided into experimental and control groups.Laparoscopic surgery was carried in experimental group to evaluate the circumstance of pelvic cavity,release the pelvic adhesion and repair the tube if necessary before next pregnancy.The control group only takes anti-infective treatment.The Chi-square criterion was performed to determine the difference of fertility between the groups.[Results] The recurrent ectopic rate was 7.1% and the interuterine pregnancy rate was 64.3% in the experimental group.There was significance difference between the groups of the two indexes（21.4% and 36.9%）（P﹤0.05）.The infertility rates in experimental and control groups were 28.6% and 41.7%,respectively（P﹥0.05）.[Conclusion] Laparoscopic treatment for the pregnancy of patients with previous ectopic pregnancy is benefit for reducing the recurrent ectopic pregnancy.

关 键 词：输卵管妊娠 腹腔镜 重复异位妊娠 预防 

分 类 号：R714.22[医药卫生—妇产科学]