摘要
目的探讨输卵管妊娠患者临床治疗中采用药物水压胚胎分离法腹腔镜手术治疗的应用及效果。方法选取2018年1月~2019年1月于我院治疗的输卵管妊娠患者68例作为研究对象,根据随机数字表法分为观察组和对照组,对照组采用传统方法即腹腔镜下输卵管切开胚术进行治疗,观察组采用药物水压胚胎分离法腹腔镜手术治疗,对两组患者的临床治疗效果进行对比。结果经不同方法治疗,观察组患者整体治疗效果优于对照组,其中术中出血量、手术时间明显少于、短于对照组,且宫内妊娠发生几率为2.94%,明显低于对照的26.5%,差异有统计学意义(P <0.05);观察组患者输卵管畅通状况良好,畅通率为97.06%,明显高于对照组的61.76%,差异有统计学意义(P <0.05);两组患者治疗后血β-HCG(人绒毛膜促性腺激素)均明显下降,差异有统计学意义(P <0.05),且分别对术后3、7、14d血β-HCG下降状况进行统计,差异无统计学意义(P> 0.05)。结论与传统治疗方法相比,输卵管妊娠患者采用药物水压胚胎分离法腹腔镜手术治疗临床效果更为显著,术中出血量低、手术时间短,输卵管畅通率高,治疗对患者产生的损伤小,利于病情恢复,提高患者生活质量,临床治疗价值较高。
Objective To investigate the application and effect of laparoscopic drug-hydraulic embryo separation in clinical treatment of tubal pregnancy. Methods 68 patients with tubal pregnancy who were treated in our hospital from January 2018 to January 2019 were selected as subjects of this study.The patients were divided into observation group and control group according to the random number table method.The control group was treated with the traditional method of laparoscopic salpingotomy and the observation group was treated laparoscopic drug-hydraulic embryo separation.The clinical therapeutic effects of the two groups were compared. Results After treatment with different methods,the overall therapeutic effects of the observation group were better than that of the control group.The intraoperative bleeding volume and operation time of the observation group were significantly less or shorter than the control group.The incidence of intrauterine pregnancy was 2.94%,which was significantly lower than that of the control group(26.5%),and the difference was statistically significant(P < 0.05).The tubal patency in the observation group was good,and the patency rate was 97.06%,which was significantly higher than the control group(61.76%),(P < 0.05).The blood β-HCG(human chorionic gonadotropin) in both groups was significantly decreased after treatment,and the difference was statistically significant(P < 0.05).There was no significant difference in blood β-HCG decline at 3 days,7 days and 14 days between the two groups(P > 0.05). Conclusion Compared with traditional treatment methods,laparoscopic drug-hydraulic embryo separation is more effective in patients with tubal pregnancy,with lower intraoperative bleeding volume,shorter operation time,higher tubal patency rate,and less damage to the patient.This method is conducive to recovery,can improve the quality of life of patients,and has higher clinical treatment value.
作者
陈美容
CHEN Meirong(People’s Hospital of Yangdong District,Guangdong,Yangjiang 529500,China)
出处
《中国医药科学》
2020年第4期226-228,268,共4页
China Medicine And Pharmacy
关键词
输卵管妊娠
腹腔镜手术
药物水压胚胎分离法
畅通率
Tubal pregnancy
Laparoscopic surgery
Drug-hydraulic embryo separation
Patency rate
