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目的观察不同保守性方法治疗输卵管妊娠后患者生育结局。方法回顾性分析223例输卵管妊娠住院治疗资料,按药物保守治疗(55例)、腹腔镜保守治疗(118例)及血管介入治疗(50例)3种不同治疗手段分组,比较治疗后输卵管通畅率、宫内妊娠率、再次异位妊娠率。结果腔镜组及介入组的3个月输卵管通畅率明显高于药物组(90.68%和90.00%vs.56.36%)(P<0.01);腔镜组和介入组2年不孕率明显低于药物组(20.34%和20.00%vs.38.18%)(P<0.05)。结论对宫外孕患者宜依据不同病情选择治疗方法。与药物治疗比较,腔镜及介入治疗后3个月输卵管通畅率较高,而2年不孕率较低。
Objective To observe the fertility outcomes of patients after tubal pregnancy with different conservative methods. Methods A retrospective analysis of 223 cases of tubal pregnancy hospitalized data were divided into three groups according to conservative treatment (55 cases), laparoscopic conservative treatment (118 cases) and vascular interventional treatment (50 cases). The tubal patency rate , Intrauterine pregnancy rate, ectopic pregnancy rate again. Results The 3-month tubal patency rate in the endoscopic group and the intervention group was significantly higher than that in the drug group (90.68% vs 90.00% vs 56.36%, P <0.01). The 2-year infertility rate in the endoscopic group and the intervention group was significantly lower than that in the drug group Drug group (20.34% vs 20.00% vs.38.18%) (P <0.05). Conclusions Patients with ectopic pregnancy should choose treatment based on different conditions. Compared with the drug treatment, endoscopic and interventional treatment of tubal patency 3 months higher rate of 2-year infertility rate is low.