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目的:评价腹腔镜手术治疗输卵管妊娠的临床疗效,及对受孕的影响。方法:选择该院2008年1月~2009年1月入院的输卵管妊娠患者60例,分为腹腔镜组和开腹组各30例,术后比较两组的疗效及受孕情况。结果:腹腔镜组的手术时间、术中出血量、排气时间、住院时间等明显短于开腹组(P<0.05)。术后随访患者3~16个月,腹腔镜组术后1年的受孕率明显高于开腹组(P<0.05)。结论:腹腔镜保守手术治疗输卵管妊娠具有创伤小、手术时间短、患者术后恢复快,且手术切口美观、术后受孕率高等特点,患者易于接受,值得临床推广使用。
Objective: To evaluate the clinical efficacy of laparoscopic surgery for tubal pregnancy and its effect on pregnancy. Methods: Sixty patients with tubal pregnancy admitted to our hospital from January 2008 to January 2009 were divided into laparoscopic group and open group, 30 cases each. The curative effect and pregnancy status of the two groups were compared after operation. Results: The operation time, intraoperative blood loss, exhaust time and hospital stay in laparoscopic group were significantly shorter than those in laparotomy group (P <0.05). The patients were followed up for 3 to 16 months. The pregnancy rate of laparoscopic group was obviously higher than that of laparotomy group (P <0.05). Conclusions: Laparoscopic conservative surgery for tubal pregnancy has the advantages of less trauma, shorter operative time, quick recovery after operation, beautiful surgical incision and high postoperative pregnancy rate. The patients are easy to accept and worthy of clinical promotion.