腹腔镜、开腹手术及药物治疗输卵管妊娠的疗效及对妊娠结局的影响  

The efficacy of laparoscopy,open surgery and drug for treating tubal pregnancy and their effects on pregnancy outcome

作　　者：马淑云[1] 魏琳[1] 

机构地区：[1]西安医学院附属医院妇产科,陕西西安710077

出　　处：《中国医药导报》2012年第15期186-187,共2页China Medical Herald

摘　　要：目的探讨腹腔镜、开腹手术及药物治疗输卵管妊娠的疗效及对妊娠结局的影响。方法回顾性分析我院2008年2月～2011年2月收治的输卵管妊娠患者256例,按患者意愿分为三组进行治疗,其中腹腔镜组(A组)93例,开腹手术组(B组)85例,药物治疗组(C组)78例。观察三组患者的疗效及对妊娠结局的影响。结果 A、B两组的疗效、尿β-HCG下降时间、输卵管通畅率及受孕情况均明显优于C组(P<0.05),A组各指标虽较B组佳,但两组比较差异无统计学意义(P>0.05)。结论腹腔镜治疗输卵管妊娠疗效最佳,且对有生育要求的患者有较高的受孕率,创伤小,风险低,患者痛苦轻,是首选的治疗方法。Objective To discuss the efficacy of laparoscopic, open surgery and drug for treating with tubal pregnancy and their effects on pregnancy outcome. Methods Retrospectively analyzed 256 cases with tubal pregnancy from February 2008 to February 2011 in our hospital, they were divided into three groups according to patient preference, 93 cases in group A were treated with laparoseopic, 85 cases in group B were given open surgery and 78 cases in group C were received drug for treatment. The clinical efficacy and their effects on pregnancy outcome were observed. Results The efficacy, falling time of urine beta-HCG, tubal patency rates and pregnancy in group A and group B were better than group C （P 〈 0.05）; the above index in group A was better than group B, however, there were no significant differences （P 〉 0.05）. Conclusion Laparoscopic is the best method for treating with tubal pregnancy, and it has a higher pregnancy rate for the patients who have fertility requirements, and it has little invasive, low risk and light pain.

关 键 词：腹腔镜 开腹手术 药物治疗 输卵管妊娠 疗效 

分 类 号：R714.22[医药卫生—妇产科学]