腹腔镜手术治疗未破裂异位妊娠的疗效分析  

Clinical Analysis of Laparoscopic Operation in the Treatment of Unruptured Ectopic Pregnancy

作　　者：邓梅 邓海燕 陈裕坤 

机构地区：[1]广东省高州市妇幼保健院,广东高州525200

出　　处：《中国医药指南》2014年第14期24-24,26,共2页Guide of China Medicine

摘　　要：目的探讨腹腔镜手术治疗未破裂异位妊娠的临床效果。方法选取2011年1月至2013年12月在我院进行住院治疗确诊为未破裂异位妊娠患者100例,将患者随机分为两组,观察组和对照组,每组各50例,观察组50例患者给予腹腔镜手术治疗,对照组50例患者给予甲氨蝶呤联合米非司酮药物治疗。对两组患者临床治愈率、术后血β-HCG值下降至正常时间、妊娠包块消失时间、月经恢复时间以及再次宫内孕发生率等情况进行对比分析。结果观察组的临床治愈率明显高于对照组,差异显著,具有统计学意义(P<0.05),观察组术后血β-HCG下降至正常时间、妊娠包块消失时间、月经恢复时间明显短于对照组,差异显著,具有统计学意义(P<0.05),观察组再次宫内妊娠率明显高于对照组,差异显著,具有统计学意义(P<0.05)。结论腹腔镜微创手术治疗未破裂型异位妊娠疗效确切,术后恢复快,再次妊娠率高等优点,值得临床进一步推广应用。Objective To investigate the clinical effect of laparoscopic operation in the treatment of unruptured ectopic pregnancy. Methods From January 2011 to December 2013 in hospital treatment for unruptured ectopic pregnancy in 100 patients in our hospital, the patients were randomly divided into two groups, the observation group and the control group, 50 cases in each group, 50 cases were given laparoscopic operation treatment, 50 cases in the control group were treated with methotrexate and mifepristone treatment. The two groups of patients with clinical cure rate, serumβ-HCG were decreased to normal after time, pregnancy mass disappearance time, menstrual recovery time and again intrauterine pregnancy rate were analyzed. Results The clinical observation group, the cure rate was significantly higher than the control group, the difference was significant, with statistical significance （P〈0.05）, the patients in the observation group the bloodβ-HCG dropped to normal time, the disappearance time of pregnancy mass, menstrual recovery time was shorter than the control group, significant difference, with statistical significance （P〈0.05） the observation group again, intrauterine pregnancy rate was significantly higher than the control group, the difference was significant, with statistical significance （P〈0.05）. Conclusion The treatment of laparoscopic operation of unruptured ectopic pregnancy curative effect, rapid postoperative recovery, pregnancy rate is high, it is worthy of further clinical application.

关 键 词：腹腔镜手术 药物治疗 未破裂型异位妊娠 临床效果分析 

分 类 号：R714.22[医药卫生—妇产科学]