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目的:比较腹腔镜手术与开腹输卵管手术保守治疗输卵管妊娠对受孕的影响。方法:68例需行保守手术治疗有生育要求的输卵管妊娠的患者,分为腹腔镜手术组和开腹手术组,分别34例,比较2组的手术情况,并随访2组半年后的受孕情况。结果:与开腹手术组相比,腹腔镜手术组的手术时间、术中出血量以及住院时间均显著少于开腹手术组(P<0.05),术后保留输卵管通畅率以及受孕率也显著高于开腹手术组(P<0.05)。结论:腹腔镜保守治疗输卵管妊娠具创伤小、恢复快的特点,疗效确切,更适用于有生育要求的患者。
Objective: To compare the effects of laparoscopic surgery and laparotomy on conservative treatment of tubal pregnancy. Methods: Sixty-eight patients undergoing conservative surgery for tubal pregnancy requiring fertility were divided into laparoscopic group and laparotomy group, 34 cases respectively. Comparing the operation conditions of the two groups, . Results: Compared with laparotomy group, laparoscopic surgery group had significantly less operation time, intraoperative blood loss and hospital stay than laparotomy group (P <0.05), postoperative tubal patency rate and pregnancy rate Higher than the open surgery group (P <0.05). Conclusions: Laparoscopic conservative treatment of tubal pregnancy with less trauma, faster recovery, the exact effect, more suitable for patients with reproductive requirements.