腹腔镜手术与甲氨蝶呤治疗输卵管妊娠临床效果比较

目的:比较腹腔镜手术与甲氨蝶呤治疗输卵管妊娠的临床效果。方法:选取我院收治的180例输卵管妊娠患者,分为腹腔镜手术治疗组和甲氨蝶呤化疗组,每组90例,比较分析两种治疗方法的治疗效果。结果:两种方法均可治愈输卵管妊娠患者,腹腔镜手术组治疗的治愈率为100%,显著高于甲氨蝶呤组治疗的治愈率(84.4%),两组比较差异明显(P0.05);腹腔镜手术组β-HCG下降至正常时间、住院时间也明显短于甲氨蝶呤组,差异显著(P0.05);输卵管通畅率和再次宫内妊娠率明显高于对照组,差异有显著性(P0.05)。结论:与甲氨蝶呤治疗相比,腹腔镜手术具有明显优势,是输卵管妊娠治疗中一种安全、可靠的方法,值得在临床中值得推广和应用。

Effect of laparoscopic oviduct operation and Methotrexate therapy in treatment of tubal pregnancy

Objectives:To compare the clinical effect of laparoscopic oviduct surgery and Methotrexate therapy in treatment of tubal pregnancy.Methods:A total of 180 patients with tubal pregnancy were divided into two groups,laparoscopic oviduct surgery group (n =90) and Methotrexate therapy group (n =90).The efficacy analysis and follow-up analysis were compared.Results:The cure rate of laparoscopic oviduct surgery and Methotrexate therapy was 100％ and 84.44％ respectively.The time of hospitalization and the duration of postoperative β -HCG level till normal level were significant less than those of the Methotrexate therapy group (P ＜ 0.05).The potency rate of common oviduct and conception rate of the observation group were significant higher than those of the control group (P ＜ 0.05).Conclusion:Laparoscopic oviduct operation has advantages in treatment of tubal pregnancy compared with Methotrexate therapy.It is a safe and effective method,which is worth of applying in practice.