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目的:探讨腹腔镜手术及药物保守治疗在异位妊娠患者中的治疗方法与效果的对比。方法:选取本院在2013年1月~2015年1月期间接收治疗的150例异位妊娠患者,将其分为观察组与对照组各75例,观察组患者给予腹腔镜手术进行治疗,对照组患者提供甲氨蝶呤药物保守治疗,比较两组患者临床治疗效果、包块消失时间、术后β-HCG恢复正常时间、月经恢复时间、输卵管通畅率、再次宫内妊娠率以及重复异位妊娠率。结果:观察组患者治疗总有效率为97.3%,明显高于对照组患者的78.7%,P<0.05。观察组患者包块消失时间、术后β-HCG恢复时间、月经恢复时间均少于对照组患者,而输卵管通畅率明显高于对照组,P<0.05。随访中统计宫内妊娠成功观察组有58例,对照组为22例,观察组明显更多,而再次异位妊娠观察组为5例,对照组有17例,与对照组相比观察组较少,P<0.05。结论:针对有生育要求的异位妊娠患者而言,采用腹腔镜的保守手术治疗具有更好的临床疗效,具有较高的应用价值与明显的治疗优势,应该成为异位妊娠患者治疗手段的首选方法。
Objective: To explore the contrast between laparoscopic surgery and conservative treatment in patients with ectopic pregnancy. Methods: 150 cases of ectopic pregnancy receiving treatment in our hospital from January 2013 to January 2015 were divided into observation group and control group with 75 cases in each. The observation group was treated with laparoscopic surgery. The control group Group methotrexate conservative treatment, clinical efficacy of the two groups were compared, the disappearance of mass, postoperative β-HCG recovery time, menstruation recovery time, fallopian tube patency, intrauterine pregnancy rate and repeated ectopic Pregnancy rate. Results: The total effective rate of observation group was 97.3%, which was significantly higher than that of control group (78.7%, P <0.05). The disappearance time of the mass in the observation group, postoperative β-HCG recovery time and menstruation recovery time were less than those in the control group. The tubal patency rate was significantly higher than that of the control group (P <0.05). In follow-up, 58 cases of intrauterine pregnancy were successfully observed, 22 cases in control group, and more in observation group, while in ectopic pregnancy observation group, 5 cases and control group, 17 cases in observation group compared with control group Less, P <0.05. Conclusion: For patients with ectopic pregnancy requiring fertility, laparoscopic conservative surgery has better clinical efficacy, higher application value and obvious therapeutic advantages, which should be the first choice of treatment for patients with ectopic pregnancy method.