摘要
目的:比较甲氨蝶呤(MTX)保守治疗与开腹手术及腹腔镜手术治疗异位妊娠(EP)的临床效果。方法:选取我院收治的236例EP患者,其中MTX保守治疗80例,开腹手术治疗77例,腹腔镜手术治疗79例。结果:①MTX组的住院时间明显长于开腹组及腹腔镜组(P<0.05);②腹腔镜组术后的血清β-HCG浓度明显低于MTX组(P<0.05);③腹腔镜组术后输卵管通畅率明显高于MTX组和开腹组,差别均有统计学意义(P<0.05);④腹腔镜组在术中出血量、手术时间、术后排气时间以及住院时间方面均低于开腹组(P<0.05)。结论:腹腔镜手术是治疗EP的有效方法,MTX在严格把握适应症的条件下也能取得较好的效果。
Objective： To investigate the effect of medicine treatment with laparoscopic operation and laparotomy on the treatment of ectopic pregnancy（EP）.Method： We selected 236 patients with EP,80 cases were treated with MTX,77 cases were given open surgery and 79 patients were treated with laparoscopic.Result： ①The length of hospital stay in the MTX group was significantly longer than that in the other two groups（P 0.05）;②The level of serum β-HCG in the laparoscopic group was significantly lower than that in the MTX group（P 0.05）;③The tubal patency rate in the laparoscopic group was higher than that in the other two groups（P 0.05）;④The blood loss,operative time,discharge time and hospital stay in the laparoscopic group were all lower than that in the laparotomy group（P 0.05）.Conclusion： Laparoscopic operation is an effective method in treating EP,and to give MTX properly can get good effects too.
出处
《河北医学》
CAS
2012年第3期358-360,共3页
Hebei Medicine
关键词
甲氨蝶呤
异位妊娠
开腹手术
腹腔镜手术
Methotrexate
Ectopic pregnancy
Open surgery
Laparoscopic surgery
