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目的探讨输卵管妊娠腹腔镜保守手术与传统开腹手术治疗对患者生殖能力的影响。方法对我院收治的104例输卵管妊娠的患者,分为腹腔镜手术组51例,开腹手术组53例,对两组术后情况及术后受孕时间受孕率进行比较分析。结果术后随访2年,腹腔镜手术组再次宫内妊娠39例(76%),开腹手术组再次宫内妊娠29例(54%),差异有统计学意义(P<0.05)。结论应用腹腔镜行输卵管保守手术术后再次妊娠率高于传统的开腹手术,腹腔镜手术可以作为输卵管妊娠且有生育要求患者保守手术的首选。
Objective To investigate the effects of laparoscopic conservative surgery and traditional laparotomy on fertility of patients. Methods 104 cases of tubal pregnancy admitted to our hospital were divided into laparoscopic operation group (n = 51) and laparotomy group (n = 53). The postoperative conception rate and pregnancy rate after operation were compared. Results There were 39 cases (76%) of intrauterine pregnancy after laparoscopic surgery and 29 cases (54%) of intrauterine pregnancy again after laparotomy, the difference was statistically significant (P <0.05). Conclusions Laparoscopic tubal conservative surgery after pregnancy rate is higher than the traditional open surgery, laparoscopic surgery can be used as tubal pregnancy and fertility requirements of patients with conservative surgery preferred.