基层医院腹腔镜保守治疗早期输卵管妊娠可行性的探讨  

Feasibility of Primary Hospital Laparoscopic Conservative Treatment of Early Tubal Pregnancy

作　　者：冯玲 

机构地区：[1]芷江侗族自治县人民医院,湖南芷江419100

出　　处：《中国医药指南》2012年第24期46-48,共3页Guide of China Medicine

摘　　要：目的探讨腹腔镜保守治疗早期输卵管妊娠在基层医院应用的可行性,寻求对再次妊娠影响较小的治疗方法。方法对42例有生育要求的确诊为早期未破裂型输卵管妊娠的患者分别进行腹腔镜保守治疗(腹腔镜组)22例,及同期行传统开腹手术治疗(开腹组)20例,进行分析对比。结果腹腔镜组术后输卵管通畅率、宫内妊娠率及继发不孕方面与开腹组比较差异有统计学意义(P<0.05),两组手术成功率差异无统计学意义(P>0.05)。结论腹腔镜下保守治疗输卵管妊娠安全可靠,手术创伤小,康复快,且不影响患者的输卵管功能,是未育未破裂型输卵管妊娠的一种理想手术方式,适宜在基层医院推广实施。Objective To investigate the practicability of Laparoscopic conservative Therapy on Early Tubal pregnancy in the Primary Hospital, seeking a suitable. Method For Repregnancy patient.Method： 42 early diagnosis unruptured tubal preghancy patients with Fertility requirements were randomly divided into 2 groups,22 cases of Laparoscopic conservative Therapy （laparoscopic group） and 20 cases of Traditional open treatment group at the same term （open group ） respectively.Compare the two methods. Results In terms of oviduct unobstructed, Intrauterine pregnancy rates and secondary infertility, There was obvious difference between two groups （P 〈0.05 ）,but there was no Statistically Significant in the success rate of surgery between the two groups. Conclusions Laparoscopic tubal preghancy conservative Therapy is an ideal Operation method for the Unruptured type fallopian tube pregnancy patients, it has the advantage ofsafty, less injury, rapid recovery and less effect of tubal function,so it is a suitable choice for Primary Hospital applications.

关 键 词：腹腔镜 输卵管妊娠 保守治疗 输卵管功能 

分 类 号：R714.22[医药卫生—妇产科学]