Clinical comparative study of two kinds of conservative treatment regimens for patients with non -ruptured tubal pregnancy
10.3760/cma.j.issn.1008-6706.2015.22.032
- VernacularTitle:两种治疗方案用于未破裂型输卵管妊娠的临床效果比较
- Author:
Xianghong LI
;
Haiyan XIAO
- Publication Type:Journal Article
- Keywords:
Methotrexate;
Laparoscopic;
Conservative treatment;
Non -ruptured tubal pregnancy;
Effects
- From:
Chinese Journal of Primary Medicine and Pharmacy
2015;(22):3460-3463
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate clinical effects of methotrexate and laparoscopic salpingotomy in the treatment of non -ruptured tubal pregnancy.Methods 150 children with non -ruptured tubal pregnancy were cho-sen and randomly divided into A group (75 children)with methotrexate treatment and B group (75 children)with laparoscopic salpingotomy.The hospital staying time,the degree of tubal patency,intrauterine pregnancy rate,ectopic pregnancy rate,ovarian volume and number of follicles after treatment of the two groups were compared.Results The hospital staying time of A group and B group were (21.56 ±4.98)d,(7.91 ±1.42)d,the hospital staying time of B group was significantly shorter than A group (t =2.27,P <0.05).The tubal patency rate,pass and not free rate and barrier rate after treatment of A group were 10.66%(8 /75),62.67%(47 /75),26.67%(20 /75),those of B group were 65.33%(49 /75),26.67%(20 /75),8.00%(6 /75),the tubal patency rate and barrier rate after treatment of B group were significantly better than A group (χ2 =12.36,8.94,P <0.05).The intrauterine pregnancy rate and ectopic pregnancy rate of A group were 30.67% (23 /75 ),20.00% (15 /75 ),those of B group were 53.33%(40 /75),8.00%(6 /75),which were significantly better than A group (χ2 =9.33,8.16,all P <0.05).There was no significant difference in ovarian volume after treatment between the two groups (P >0.05).The number of follicles in 1 month,3 months and 6 months after treatment of B group was significantly better than A group (t =2.57,2.06, 2.10,all P <0.05).Conclusion Compared with methotrexate treatment,laparoscopic salpingotomy in the treatment of non -ruptured tubal pregnancy can efficiently shorten hospital staying time,higher the degree of tubal patency, improve the long -term outcome,and is helpful to reduce the effect of ovarian function.
