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目的为了进一步提高输卵管壶腹部妊娠的临床治疗效果和保留患者的生育功能,分析和探讨采取腹腔镜下输卵管壶腹部妊娠切开取胚术可行性和必要性。方法选取280例于2011年1月-2015年6月共280例输卵管壶腹部妊娠病例作为研究对象,对照组(200例)和观察组(80例),其中观察组患者治疗上采取腹腔镜下输卵管壶腹部妊娠切开取胚术,对照组患者在治疗方案上采取腹腔镜下患侧输卵管切除术,对比和分析两组患者治疗效果和术后患者血中β-hC G的数值变化。结果两组的临床治疗效果和术后患者血中β-hC G的数值变化相比较,无统计学差异(P>0.05)。结论腹腔镜下输卵管壶腹部妊娠切开取胚术,在疗效相同情况下保留了输卵管,让患者有继续自然怀孕的机会,对有生育要求的患者是一种比较适合的手术方式。
Objective To further improve the clinical efficacy of tubal ampulla pregnancy and to preserve the reproductive function of patients, analyze and discuss the feasibility and necessity of embryo excision by laparoscopic ampulla amputation. Methods A total of 280 cases of tubal ampulla pregnancy were selected from 280 cases from January 2011 to June 2015. The control group (200 cases) and the observation group (80 cases) were selected. The patients in the observation group were treated by laparoscopy Tubal ampulla of pregnancy amputated embryo debridement, the control group of patients in the treatment of laparoscopic ipsilateral tubal resection, comparison and analysis of two groups of patients with treatment and postoperative blood β-hC G changes in the value. Results There was no significant difference between the two groups in the clinical therapeutic effect and the change of β-hC G in postoperative blood (P> 0.05). Conclusion Laparoscopic ampulla amputation amputation embryo pregnancy, the same effect in the retention of the fallopian tube, so that patients have the opportunity to continue the natural pregnancy, fertility requirements of patients is a more appropriate surgical approach.