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目的观察异位妊娠患者采用腹腔镜手术进行治疗对其生育结局的影响。方法 74例异位妊娠患者作为临床研究对象,将其随机分为研究组和对照组,其中对照组34例患者采用传统开放手术进行治疗,研究组40例患者采用腹腔镜手术进行治疗。观察两组患者治疗后的输卵管再通率和远期妊娠情况,并进行对比分析。结果研究组患者的输卵管通畅率(87.5%)明显高于对照组(58.8%),差异有统计学意义(P<0.05)。研究组患者的宫内妊娠率(80.0%)和总妊娠率(95.0%)均明显高于对照组的宫内妊娠率(35.3%)和总妊娠率(64.7%),差异均有统计学意义(P<0.05)。结论对异位妊娠患者采用腹腔镜手术进行治疗可以有效改善患者的生育结局,值得在临床上进一步推广。
Objective To observe the effect of laparoscopic surgery on the reproductive outcome in patients with ectopic pregnancy. Methods Totally 74 patients with ectopic pregnancy were randomly divided into study group and control group, of which 34 patients in control group were treated by traditional open surgery and 40 patients in study group were treated by laparoscopic surgery. Observed the two groups of patients after treatment of tubal recanalization rate and long-term pregnancy, and comparative analysis. Results The tubal patency rate (87.5%) in study group was significantly higher than that in control group (58.8%), the difference was statistically significant (P <0.05). The intrauterine pregnancy rate (80.0%) and total pregnancy rate (95.0%) in the study group were significantly higher than those in the control group (35.3%) and the total pregnancy rate (64.7%), the differences were statistically significant (P <0.05). Conclusions The treatment of ectopic pregnancy by laparoscopic surgery can effectively improve the fertility outcome of patients and is worth further promotion in clinic.