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目的:探讨导管插入法与非导管插入法治疗输卵管壶腹部妊娠对术后宫内妊娠率及再次异位妊娠发生率的影响。方法:总结2001年1月~2007年12月来金昌市金川公司医院妇产科就诊的有生育要求的输卵管壶腹部妊娠患者接受导管插入法(治疗组,130例)与非导管插入法(对照组,130例)治疗对术后宫内妊娠率、再次异位妊娠发生率的影响以及总治疗费用的差异(包括手术时的住院费用以及术后治疗的总费用)。结果:治疗组宫内妊娠率为95.6%,对照组宫内妊娠率为43.1%,两组比较差异有统计学意义(P<0.05);治疗组再次异位妊娠发生率为11.3%,对照组再次异位妊娠发生率为52.6%,两组比较差异有统计学意义(P<0.05);治疗组总治疗费用为2 059元,对照组总治疗费用为3 129元,两组比较差异有统计学意义(P<0.05)。结论:导管插入法治疗有生育要求的输卵管壶腹部妊娠患者可提高术后宫内妊娠率,降低再次异位妊娠发生率及总治疗费用。
Objective: To investigate the effect of catheterization and non-catheterization on tubal ampulla pregnancy on intrauterine pregnancy rate and incidence of ectopic pregnancy again. Methods: From January 2001 to December 2007, Jinchuang Hospital of Jinchang Company, Jinchang Hospital, obstetrics and gynecology patients with fertility requirements tubal ampulla pregnancy patients received catheterization (treatment group, 130 cases) and non-catheterization (control Group, 130 cases) treatment on the intrauterine pregnancy rate, the incidence of ectopic pregnancy and the difference between the total treatment costs (including the cost of surgery and postoperative treatment of the total cost). Results: The intrauterine pregnancy rate was 95.6% in the treatment group and 43.1% in the control group. The difference between the two groups was statistically significant (P <0.05). The incidence of ectopic pregnancy in the treatment group was 11.3% The incidence of ectopic pregnancy again was 52.6%, the difference between the two groups was statistically significant (P <0.05); the total cost of the treatment group was 2,059 yuan, while the total cost of the control group was 3,129 yuan, statistically significant difference between the two groups Significance (P <0.05). CONCLUSION: Catheterization can improve intrauterine pregnancy rate, reduce the incidence of re-ectopic pregnancy and the total cost of treatment for tubal ampullary pregnancy patients with reproductive requirements.