腹腔镜2种不同术式治疗输卵管壶腹部妊娠临床对比研究

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1、腹腔镜2种不同术式治疗输卵管壶腹部妊娠临床对比研究杨碧华王佳琦赵容（江油市中医医院四川绵阳621700）【摘要】目的：对腹腔镜2种不同术式治疗输卵管壶腹部妊娠临床对比研究的分析和探讨。方法：选择从2013年5月到2015年5月入住我院接受治疗的126例输卵管壶腹部妊娠患者作为研究对象，随机分成实验组和常规组，每组各63例。其中常规组采用输卵管切除术，实验组施行输卵管保留术，分别于术后随访24个月，比较不同术式的手术成功率、再次妊娠率、输卵管妊娠复发率。结果：实验组的手术成功率与常规组差异不大，无统计学意义（P>0

2、.05）；实验组宫内孕机率（71.88%）明显高于常规组的（31.25%）,且差异显著，具有统计学意义（PV0.05）；实验组与常规组的输卵管妊娠复发率差异不大，无统计学意义（P>0.05）o结论：腹腔镜下输卵管保留术与输卵管切除术对输卵管妊娠治疗的手术成功率与复发率无明显差异，而输卵管保留术后患者再次妊娠率明显高于输卵管切除术的患者。【关键词】腹腔镜；输卵管保留术；输卵管切除术；输卵管壶腹部妊娠【中图分类号】R713【文献标识码】A【文章编号】2095-1752（2016）19-0015-02Clinicalc

3、omparativestudyoflaparoscopicof2differentsurgicaltreatmentoftubalampullarypregnancyYangBihua,WangJiaqi,ZhaoRong.TheChineseMedicineHospitalofJiangyouCity,SichuanProvinee,Mianyang621700,China[Abstract]ObjectiveLaparoscopicsurgeryintreatmentoftubalampullarypregn

4、ancyclinicalcomparativestudy.MethodsChoosefromMay2013toMay2015admittedtoourhospitalfortreatmentof126casesoftubalampullarypregnancypatientsastheresearchobject,randomlydividedintoexperimentalgroupandconventionalgroup,eachgroup(63cases).Theroutinegroupweretreate

5、dwithtubalresection,theexperimentalgroupoffallopiantuberetentioninpostoperativefollow-upof24months,comparisonofdifferentsurgicaloperationsuccessrate,pregnancyrateoffallopiantubepregnancyrecurreneerate.ResultsIntheexperimentalgroupthesurgicalsuccessrateandthec

6、onventionalgrouphadlittledifferenee.Statisticalsignificanee(P>0.05);experimentalgroupintrauterinepregnancyrate(73.02%)wassigrdficantlyhigherthanthatofroutinegroup(31.75%),andsignificantdiffereneehasstatisticalsignificanee(P<0.05);experimentalgroupandcon

7、ventionalgroupoftubalpregnancyrecurreneerateisinsign讦icant,nostatisticalsignificance(P>0.05).ConclusionLaparoscopictubalreservedoperationandtubalresectionofthetubeoffallopiantubepregnancysurgerysuccessrateandrecurreneeratehadnosign讦icantdifferenee,andtubal

8、reservedafteroperationinpatientswithpregnancyratewassign讦icantlyhigherthanthatoftubalresectionpatients.【Keywords］Laparoscopic;Tubalsparingsurgery;Tubalresection;Tubalampullarypregnancy输卵管