摘要
目的探讨腹腔镜手术对宫内妊娠合并输卵管间质部妊娠患者的治疗效果及对分娩结局的影响。方法将宫内妊娠合并输卵管间质部妊娠患者42例随机分为对照组和观察组,各21例。对照组实施开腹手术治疗,观察组给予腹腔镜手术治疗。比较两组的治疗效果及分娩结局。结果观察组手术时间短于对照组,术中出血量少于对照组(P<0.05)。观察组不良事件总发生率低于对照组(P<0.05)。术后3 d内,两组HCG水平均降低,且观察组低于对照组(P<0.05)。观察组HCG水平恢复正常时间短于对照组(P<0.05)。观察组持续妊娠发生率高于对照组(P<0.05)。结论在宫内妊娠合并输卵管间质部妊娠患者的治疗中,腹腔镜手术治疗效果显著,安全性较高,分娩结局理想,值得临床推广。
Objective To investigate the effect of laparoscopic surgery in the treatment of intrauterine pregnancy combinedwith interstitial tubal pregnancy and its effect on delivery outcomes. Methods A total of 42 cases of intrauterine pregnancycombined with interstitial tubal pregnancy were randomly divided into control group and observation group, with 21 cases ineach group. The control group was treated with laparotomy surgery, and the observation group was treated with laparoscopysurgery. The therapeutic effects and delivery outcomes of the two groups were compared. Results The operative time in theobservation group was shorter than that in the control group, and the amount of intraoperative blood loss was less than that inthe control group （P〈0.05）. The total incidence of adverse events in the observation group was lower than that in the controlgroup （P〈0.05）. Within 3 days after operation, the levels of HCG in both groups decreased, and that in the observation groupwas lower than the control group（P〈0.05）. The time of HCG level returned to normal in the observation group was shorter thanthat in the control group （P〈0.05）. The incidence of persistent pregnancy in the observation group was higher than that in thecontrol group （P〈0.05）. Conclusion In the treatment of intrauterine pregnancy combined with interstitial tubal pregnancy,laparoscopic surgery is effective, with higher safety and ideal delivery outcome, which is worthy of clinical promotion.
作者
常捷芳
马飞
CHANG Jie-fang;MA Fei(Gynaecology Department;Emergency Department,Hanzhong Central Hospital,Hanzhong 723000,China)
出处
《临床医学研究与实践》
2018年第33期89-91,共3页
Clinical Research and Practice
关键词
宫内妊娠
输卵管间质部妊娠
腹腔镜手术
intrauterine pregnancy
interstitial tubal pregnancy
laparoscopic surgery
