腹腔镜治疗输卵管妊娠后患侧输卵管通畅情况分析

目的分析输卵管妊娠经腹腔镜治疗后患侧输卵管的通畅情况。方法将我院2008-2010年间治疗的80例输卵管妊娠的患者分成腹腔镜治疗组和药物治疗组。成功后于术后3~6个月行子宫输卵管碘油造影术了解患侧输卵管通畅情况。结果腹腔镜治疗组成功率(95%)高于药物治疗成功率(80%),差异具有统计学意义(P<0.05)。腹腔镜组通畅率为77.5%,与药物治疗组的通畅率(47.5%)比较,差异具有统计学意义(P<0.01)。结论腹腔镜治疗输卵管妊娠疗效较好,成功率以及术后患侧输卵管通畅率较高,且具有创伤小、恢复快、有效保留生育功能等优势。

Clinical analysis of tubal patency on the affected side after conservative treatment with tubal pregnancy by laparoscope

Objective To analyze the situation of tubal patency on the affected side after treating tubal pregnancy by laparoscope. Methods Eighty patients with tubal pregnancy in our hospital from 2008 to 2010 were randomly divided into the study group (treated by laparoscope) and the control group (treated by medicine). 3~6 months after treatment, the situation of tubal patency on the affected side were investigated by line technique hysterosalpingograph. Results The success rate of the study group was 95%, significantly higher than that of the control group (80%), P<0.05. The patency rate of the study group was 77.5%, significantly higher than that of the control group (47.5%), P<0.01. Conclusion Better efficacy can be achieved by laparoscope in the treatment of tubal pregnancy, with higher success rate, higher patency rate on the affected side, less trauma and faster recovery. It can effectively preserve the reproductive function.