腹腔镜与开腹两种保守手术方法治疗输卵管妊娠的临床对照研究

目的探讨输卵管妊娠有生育要求患者腹腔镜与开腹两种保守手术治疗方法的临床价值。方法回顾分析400例，其中腹腔镜组200例，开腹组200例，比较两组的手术时间、术中出血量，并于术后第3个月经周期后行输卵管碘油造影术了解两组异位妊娠输卵管的复通情况。结果腹腔镜组平均手术时间（43．91±15．56）min，开腹组平均手术时间（69．28±18．37）min，差异无统计学意义（P〉0．05）。腹腔镜组平均出血量（40．28±10．26）ml，开腹组平均出血量（70．69±18．41）ml，差异有统计学意义（P〈0．05）。术后保留输卵管通畅率腹腔镜组90％，开腹组为75％，两组比较差异有统计学意义（P〈0．01）。结论腹腔镜治疗输卵管妊娠疗效确切，更适用于有生育要求的患者。

Contrast between laparoscopy conservative surgical management and laparotomy conservative surgical management for tubal pregnancy

Objective To explore the value of laparoseopy conservative treatment for the patients of tubal pregnancy with fertility requirement. Methods The data of 400 tubal pregnaney patients with fertility requirement were retrospectively analyzed who reeeived eonservaetive surgical management. Laparoseopy was performed in 200 patients, laparotomy in 200 patients. Results The operation time, bleeding loss and tubal pateney rate were compared betwen two groups. The operation time in laparoseopy group was （43.91 ± 15.56） min, and （69.28 ±18.37） rain in laparotomy group. There was no statistical significant difference. The bleeding loss in the laparoseopy group was （40. 28± 10. 26） ml, and （70. 69± 18.41 ） ml in laparotomy group. The tubal pateney rate of laparoseopy was 90% ,and that of laparotomy group was 75%. The difference of bleeding loss and tubal pateney rate between two groups was statistically significant（P 〈0. 05 ）. Conclusion Lapareseopy conservative surgical management for tubal pregnancy is valuable, especially for the patients with fertility requirement.