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目的:比较腹腔镜手术与药物保守治疗异位妊娠的临床疗效。方法:2010年3月～2011年3月异位妊娠患者150例,随机分为腹腔镜手术组和药物保守治疗组。两组患者分别给予腹腔镜手术和药物保守治疗,对两组患者的临床疗效进行对比。结果:与药物保守治疗组相比,腹腔镜手术组的住院时间和出院时HCG值均显著降低(P<0.05),住院费用则显著提高(P<0.05),再次宫内妊娠率显著提高,盆腔炎的发生率则显著降低(P<0.05);同时,再次异位妊娠率有所降低,但未呈现出统计学差异(P>0.05)。结论:腹腔镜手术在异位妊娠治疗中具有创伤性小、住院时间短、术后恢复快、宫内妊娠率高等优势,是异位妊娠患者较为理想的治疗方法之一。
Objective: To compare the clinical efficacy of laparoscopic surgery and conservative treatment of ectopic pregnancy. Methods: From March 2010 to March 2011, 150 patients with ectopic pregnancy were randomly divided into laparoscopic surgery group and drug conservative treatment group. Two groups of patients were given laparoscopic surgery and conservative treatment of drugs, the clinical efficacy of two groups of patients were compared. Results: Compared with the conservative treatment group, the hospitalization time and the HCG value at discharge were significantly decreased (P <0.05) and the hospitalization costs were significantly increased (P <0.05), the intrauterine pregnancy rate was significantly increased, The incidence of pelvic inflammatory disease was significantly lower (P <0.05). At the same time, the rate of ectopic pregnancy was decreased again, but no statistical difference was found (P> 0.05). Conclusions: Laparoscopic surgery has the advantages of less invasiveness, shorter hospital stay, faster recovery after operation, and higher intrauterine pregnancy rate, which is one of the most ideal treatment for ectopic pregnancy.