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目的探讨腹腔镜手术治疗宫内妊娠合并输卵管妊娠的价值。方法选取鼓楼医院2010年7月-2016年1月,经手术治疗的宫内妊娠合并输卵管妊娠患者37例为研究对象。分为腹腔镜组与开腹组,腹腔镜组18例,开腹组19例。对两组患者术中术后情况及妊娠结局等进行比较。结果经腹腔镜治疗的患者与开腹手术患者比较,其手术时间、术中出血量、术后住院时间,差异均有统计学意义(均P<0.05),两组患者妊娠结局差异无统计学意义(P>0.05)。结论腹腔镜手术对宫内宫外同时妊娠(HP)而保留宫内妊娠的治疗安全有效,且出血少、手术时间短、术后恢复快,更加利于宫内合并输卵管同时妊娠的诊断及治疗。
Objective To investigate the value of laparoscopic surgery for intrauterine pregnancy combined with tubal pregnancy. Methods Gulou Hospital from July 2010 to January 2016, 37 cases of intrauterine pregnancy combined with tubal pregnancy by surgery were studied. Divided into laparoscopic group and open group, laparoscopic group of 18 cases, open group of 19 cases. The two groups of patients after surgery and pregnancy outcomes were compared. Results Compared with patients undergoing laparotomy, the operation time, intraoperative blood loss, postoperative hospital stay and the difference were statistically significant (all P <0.05). There was no significant difference in pregnancy outcome between the two groups Significance (P> 0.05). Conclusions Laparoscopic surgery is safe and effective for intrauterine uterine simultaneous pregnancy (HP) while retaining intrauterine pregnancy, with less bleeding, shorter operative time and faster postoperative recovery, which is more conducive to the diagnosis and treatment of simultaneous intrauterine and tubal pregnancy.