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目的 探讨输卵管妊娠腹腔镜保守性手术及术后并发症持续性异位妊娠的发生率,术后监测血βHCG值及追加米非司酮的必要性。方法 对10 3例输卵管妊娠患者进行保守性手术,术后监测血βHCG值的变化,并对其中5 3例患者术后追加米非司酮治疗。结果 术后未用米非司酮组持续性异位妊娠率12 % ,追加米非司酮组持续性异位妊娠率为0 ;两组术后血人绒毛膜促性腺激素β亚单位(βHCG)值恢复正常时间平均13 2d ,两组术后输卵管通畅率及妊娠率差异无显著意义。结论 术后监测血βHCG值可尽早发现持续性异位妊娠,术后追加米非司酮可降低持续性异位妊娠发生率。
Objective To investigate the incidence of tubal pregnancy laparoscopic conservative surgery and postoperative complications of persistent ectopic pregnancy, postoperative blood βHCG value and the need for additional mifepristone. Methods A total of 103 patients with tubal pregnancy underwent conservative surgery. Blood βHCG levels were monitored after operation. Fifty-three patients were treated with mifepristone. Results The rate of persistent ectopic pregnancy without using mifepristone was 12% and the rate of persistent ectopic pregnancy with additional mifepristone was 0. The postoperative blood levels of human chorionic gonadotropin subunit βHCG ) Return to normal value of the average 13 2d, the difference between the two groups postoperative tubal patency and pregnancy rate was not significant. Conclusions Postoperative monitoring of serum β-HCG can detect persistent ectopic pregnancy as soon as possible. Postoperative mifepristone can reduce the incidence of persistent ectopic pregnancy.