异位妊娠三种治疗方法疗效比较  

作　　者：秦芬[1] 张丽萍[1] 王权[1] 

机构地区：[1]湖北医药学院附属太和医院,442000

出　　处：《浙江临床医学》2014年第4期542-543,共2页Zhejiang Clinical Medical Journal

摘　　要：目的比较药物、剖腹手术、腹腔镜手术三种治疗方法对异位妊娠的疗效。方法210例异位妊娠患者分为腔镜组、剖腹组、药物组，各70例，比较输卵管通畅率、异位妊娠复发率、宫内妊娠成功率。结果腔镜组输卵管通畅率高于其它二组（P〈0．05），药物组异位妊娠复发率低于其他二组（P〈0．05），三组间宫内妊娠成功率差异无统计学意义。结论腹腔镜手术是一种治疗异位妊娠安全有效的方法，优于剖腹手术。严格把握适应证，药物治疗可部分替代手术治疗。Objective To compare the effect of drugs, laparotomy, laparoscopic surgery treatments for ectopic pregnancy. Mehods 210 cases of ectopic pregnancy were divided into three groups, laparoscopy group, laparotomy group and drug group. The tubal patency rate, ectopic pregnancy rate of recurrence, and the intrauterine pregnancy success rate were investegated between three groups. Result The tubal patency rate of laparoscopic surgery group was significantly higher than the conservative treatment group and the open surgery group. The pregnancy relapse rate of conservative treatment group is lower than the other two groups, There is no difference in the intrauterine pregnancy success rate among the three groups. Conclusion Laparoscopic surgery is a safe and effective method for ectopic pregnancy, better than the laparotomy method, if the surgical treatment indications are strictly controled, drug therapy can be a partial substitute.

关 键 词：异位妊娠 腹腔镜 疗效 

分 类 号：R714.22[医药卫生—妇产科学]