腹腔镜治疗输卵管妊娠后患侧输卵管通畅情况分析

目的了解腹腔镜治疗输卵管妊娠后患侧输卵管的通畅情况。方法将90例输卵管妊娠患者分为2组,A组（45例）行腹腔镜手术,B组（45例）行药物治疗。术后3～6个月宫腔镜下输卵管插管通液评价输卵管通畅情况。结果 A组住院时间为（4.8±0.5）d短于B组（10.5±3.2）d,A组治愈成功率为97.8%高于B组的73.3%,差异均有统计学意义（P〈0.01）;A组患侧输卵管通畅率为71.1%高于B组的35.6%,差异有统计学意义（P〈0.05）。结论输卵管妊娠腹腔镜手术治疗效果较药物治疗好;腹腔镜手术创伤小、恢复快、住院时间短,对有生育要求的患者应作为首选方法 。

The situation analysis of affected side tubal patency after conservative treatmented with fallopian pregnancy by laparoscope

Objective To understand the situation of affected side tubal patency after conservative treatmented with fallopian pregnancy by laparoscope.Methods 90 cases patients in fallopian pregnancy were divided into group A（45 cases）and group B（45 cases）.Group A was gave conservative operation with laparoscope,group B was gave conservative treatment.Results Length of stay of group A[（4.8±0.5）d] was less than that of group B[（10.5±3.2）d],the recovery rate of group A（97.8%）was higher than that in group B（73.3%）,there were statistical significance（P0.01）;The patency rate of group A（71.1%）was higher than that in group B（35.6%）,there was statistical significance（P0.05）.Conclusion Conservative operation with laparoscope has a good effect than drugs conservative treatment;The conservative operation with laparoscope has less wound,recovery faster and length of stay shorter,the requirements of the fallopian tubes shall as the first method.