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目的研究宫外孕患者口服米非司酮药物治疗后行腹腔镜下保守手术治疗的疗效评价。方法 2008—2010年以“异位妊娠”诊断收入院要求行宫外孕保守手术治疗的123例患者为研究对象,按照随机分组原则分为二组。治疗组63例,术前米非司酮50mg/次,2次/d,共口服3d。服药后手术治疗。对照组60例;入院后完善相关检查,无禁忌直接行手术治疗。结果治疗组出血量少,手术时间短,术后β-hCG值下降速度明显快于对照组。术后患侧输卵管功能明显优于对照组。结论宫外孕患者口服米非司酮药物治疗后行腹腔镜下保守手术治疗,能有效保护患侧输卵管功能。
Objective To study the curative effect of laparoscopic conservative surgery after oral administration of mifepristone in patients with ectopic pregnancy. Methods From 2008 to 2010, 123 patients who underwent conservative surgical treatment of ectopic pregnancy in the hospital for diagnosis of ectopic pregnancy were divided into two groups according to the principle of randomization. The treatment group of 63 patients, preoperative mifepristone 50mg / times, 2 times / d, a total of oral 3d. After taking the surgical treatment. The control group of 60 patients; after admission to improve the relevant checks, no contraindications direct surgical treatment. Results The treatment group had less bleeding, shorter operation time, and the decline rate of postoperative β-hCG value was significantly faster than that of the control group. Ipsilateral tubal function was significantly better than the control group. Conclusions Ectopic pregnancy patients underwent oral laparoscopic conservative surgery after oral administration of mifepristone can effectively protect tubal function of the affected side.