腹腔镜手术和口服米非司酮保守疗法对输卵管异位妊娠的效果比较  

Comparison of the Effects of Laparoscopic Surgery and Oral Mifepristone Conservative Therapy on Tubal Ectopic Pregnancy

作　　者：周鑫 ZHOU Xin(Yingkou Maternity and Children's Hospital,Yingkou l15000,China)

机构地区：[1]营口市妇产儿童医院,辽宁营口115000

出　　处：《中国医药指南》2023年第3期13-16,共4页Guide of China Medicine

摘　　要：目的关于腹腔镜手术方案和口服米非司酮保守治疗方案治疗输卵管异位妊娠的临床效果比较。方法选择2019年1月至2020年1月来我院进行治疗的92例输卵管异位妊娠患者按随机方法分为观察组和对照组,每组平均46例。为观察组患者经腹腔镜手术方案进行治疗,对照组配合口服米非司酮保守方法治疗,对两组患者经过不同治疗之后的治疗有效率、并发症发生率、治疗前后的血β-HCG、治疗前后的生活质量、患者对治疗的满意度等进行对比。结果(1)观察组(44例,占比为95.65%)治疗有效率比对照组(38例,占比为82.61%)更高,有统计学差异(P<0.05)。(2)观察组(2例,占比为4.35%)的并发症发生率低于对照组(12例,占比为26.09%),有统计学差异(P<0.05)。(3)治疗之前两组患者的血β-HCG水平差异不显著(P>0.05),治疗之后观察组患者的血β-HCG改善效果更为理想,有统计学差异(P<0.05)。(4)治疗之前两组患者在生活质量评分方面没有显著差异(P>0.05),治疗以后,观察组患者的生活质量改善效果比对照组更理想,有统计学差异(P<0.05)。(5)观察组(44例,占比为95.65%)患者对治疗的满意度评价指标高于对照组(39例,占比为84.78%),有统计学差异(P<0.05)。结论对输卵管异位妊娠患者在进行治疗的过程中通过腹腔镜手术方案进行治疗所取得的效果明显优于口服米非司酮保守治疗所取得的效果,能够提升整体的治疗有效率,而且不会产生严重的不良反应,具有较好的安全性,对改善患者的血β-HCG水平发挥了重要作用,还能全面的提高患者的生活质量和满意度,有值得推荐的价值。Objective To compare the clinical effects of laparoscopic surgery and oral mifepristone conservative treatment in the treatment of tubal ectopic pregnancy.Methods A total of 92 patients with tubal ectopic pregnancy who came to our hospital for treatment from January 2019 to January 2020 were selected and randomly divided into an observation group and a control group,with an average of 46 cases in each group.The patients in the observation group were treated with laparoscopic surgery,and the control group was treated with oral mifepristone conservatively.The quality of life and patients’satisfaction with treatment before and after treatment were compared.Results(1)The effective rate of treatment in the observation group(44 cases,accounting for 95.65%)was higher than that in the control group(38 cases,accounting for 82.61%),and there was a statistical difference(P<0.05).(2)The observation group incidence of complications(2 cases,accounting for 4.35%)was lower than that of the control group(12 cases,accounting for 26.09%),and there was a statistical difference(P<0.05).(3)There was no significant difference in the level ofβ-HCG(P>0.05),and the improvement effect of bloodβ-HCG in the observation group was more ideal after treatment,and there was a statistical difference(P<0.05).(4)Before treatment,there was no significant difference in quality of life scores between the two groups(P>0.05).After treatment,the improvement effect of the quality of life of patients in the observation group was more ideal than that in the control group,and there was a statistical difference(P<0.05).(5)The observation group(44 cases,the proportion of 95.65%)patients’satisfaction evaluation index for treatment was higher than that of the control group(39 cases,accounting for 84.78%),with statistical difference(P<0.05).Conclusion The effect of laparoscopic surgery in the treatment of tubal ectopic pregnancy is significantly better than that of conservative treatment with oral mifepristone,which can improve the overall treatment efficien

关 键 词：腹腔镜手术 口服米非司酮 输卵管异位妊娠 生活质量 满意度 并发症 

分 类 号：R714.22[医药卫生—妇产科学]