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目的探讨腹腔镜下输卵管妊娠挤胚术治疗输卵管妊娠的价值。方法对比分析2003年至2005年腹腔镜下35例输卵管挤胚术(挤胚术)和30例输卵管开窗术(开窗术)的临床资料。结果两组患者年龄及临床表现相似,挤胚术组及开窗术组的宫内妊娠率分别为63.86%和33.33%,两组相比,差异有统计学意义(P<0.05)。结论腹腔镜下挤胚术后输卵管再通率及宫内妊娠率高,腹腔镜下输卵管妊娠挤胚术是异位妊娠特别是要求保留生育功能者首选的手术方式。
Objective To investigate the value of laparoscopic tubal pregnancy for the treatment of tubal pregnancy. Methods The clinical data of 35 cases of hysterosalpingoplasty (squeeze embryo) and 30 cases of tubal fenestration (fenestration) under laparoscopy from 2003 to 2005 were analyzed. Results The age and clinical manifestations of the two groups were similar. The intrauterine pregnancy rates in the crowding group and the fenestration group were 63.86% and 33.33%, respectively. There was significant difference between the two groups (P <0.05). Conclusions After laparoscopic hysterectomy, the rate of tubal recanalization and intrauterine pregnancy rate are high. Laparoscopic tubal pregnancy with squeeze embryo is the preferred surgical method for ectopic pregnancy, especially for those with reproductive function.