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目的:分析比较对异位妊娠患者实施腹腔镜保守治疗和采用药物保守治疗的治疗效果。方法:从2011年2月到2013年5月在我院接受治疗的异位妊娠患者中选取150例病例,根据医嘱与患者自愿原则分成采用腹腔镜保守治疗的观察A组(75例)与采用药物保守治疗的观察B组(75例),观察两组治疗前后HCG值、住院时间、治疗费用、术后腹痛、再次宫内妊娠及同侧再次异位妊娠等情况。结果:采用腹腔镜技术进行保守治疗的观察A组HCG下降幅度较药物治疗的观察B组更为显著(p<0.05),此外A组住院天数、术后腹痛、再次宫内妊娠等情况均显著优于观察B组(P<0.05),但对于预防同侧再度发生异位妊娠等方面则无明显差异(p>0.05)。结论:采用腹腔镜技术对异位妊娠患者实施保守治疗,较仅采用药物治疗的临床效果更为显著,并可缩减住院时间、减少远期并发症,并有着更高的再次宫内受孕率,值得推广。
Objective: To analyze and compare the conservative treatment of laparoscopic treatment of patients with ectopic pregnancy and the use of conservative treatment of drugs. Methods: From February 2011 to May 2013, 150 cases of ectopic pregnancy treated in our hospital were selected and divided into observation group A (75 cases) and laparoscopic conservative treatment group Group B (n = 75) was treated with conservative treatment. The HCG value, hospital stay, treatment cost, postoperative abdominal pain, intrauterine pregnancy and ipsilateral ectopic pregnancy were observed before and after treatment. Results: The observation of conservative treatment by laparoscopic technique showed that the decrease of HCG in group A was more significant than that in group B (p <0.05). In addition, the days of hospital stay, postoperative abdominal pain, and intrauterine pregnancy were all significant (P <0.05), but no significant difference (P> 0.05) in the prevention of recurrence of ipsilateral pregnancy on the same side. Conclusion: The laparoscopic technique for conservative treatment of patients with ectopic pregnancy, compared with only the clinical effect of drug treatment is more significant, and can reduce hospital stay, reduce long-term complications, and have a higher rate of intrauterine pregnancy again, Worth promoting.