Objective To compare and analyze the clinical effect of laparoscopic fallopian tube preservation and salpingec-tomy in the treatment of tubal pregnancy.Methods A total of 128 cases of tubal pregnancy treated in Binzhou Medical Uni-versity Hospital from January 2018 to December 2020 were retrospectively selected as the study objects.According to whether tubal retention was performed under laparoscopy,they were divided into observation group(n=64)and control group(n=64).The observation group received tubal retention treatment under laparoscopy.The control group received laparoscopic fallopian tube resection.The treatment success rate,clinical indexes,follow-up pregnancy outcome and human chorionic gonadotropin(β-HCG)level were compared between the two groups.Results There was no significant difference in treat-ment success rate between the two groups(P＞0.05).The operation time and blood loss in the observation group were higher than those in the control group,and the differences were statistically significant(P＜0.05).There were no significant differ-ences in the recovery time of serum β-HCG to normal and postoperative hospitalization time between the two groups(P＞0.05).There was no significant difference in β-HCG level between the two groups before operation(P＞0.05).The β-HCG level in the observation group was higher than that in the control group 3 and 7 days after operation,and the differ-ence was statistically significant(P＜0.05).The reduction rate of β-HCG in the observation group was lower than that in the control group at 3 and 7 days after operation,and the difference was statistically significant(P＜0.05).Conclusions In the treatment of tubal pregnancy,laparoscopic salpingotomy and salpingectomy have a high success rate.Salpingotomy is better than salpingectomy in operation time,intraoperative bleeding and postoperative β-HCG reduction.However,tubal preservation surgery has a higher rate of normal pregnancy.
关键词
腹腔镜/保留输卵管/切除输卵管/输卵管妊娠
Key words
Laparoscopy/Preservation of fallopian tubes/Removal of fallopian tubes/Tubal pregnancy
维普
万方数据