Curative effect of pituitrin in laparoscopic conservative surgery of tubal pregnancy
10.3760/cma.j.issn.1008-6706.2017.15.020
- VernacularTitle:垂体后叶素用于输卵管妊娠腹腔镜保守手术中的疗效观察
- Author:
Hui ZHANG
- Keywords:
Laparoscopy;
Tubal pregnancy;
Pituitrin
- From:
Chinese Journal of Primary Medicine and Pharmacy
2017;24(15):2321-2324
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the curative effect of pituitrin in laparoscopic conservative surgery in the treatment of 60 patients with tubal pregnancy.Methods 120 eggs tube pregnancy patients were selected as the research subjects.According to the random blind points method,they were divided into the observation group and control group,60 cases in each group.The control group was undergoing laparoscopic conservative surgery directly,the observation group was injected pituitrin in the mesosalpinx before laparoscopic surgery.The intraoperative and postoperative condition,postoperative hospitalization days and blood β-human chorionic gonadotrophin(β-HCG) level changes and clinical curative effect were observed and compared in the two groups.Results The intraoperative blood loss,hemostatic time,operation time,postoperative body temperature,hospitalization days of the observation group were (21.12±7.86)mL,(3.61±1.68)min,(35.23±10.45)min,(37.35±0.65)℃,(5.64±0.66)d,respectively,which of the control group were (97.63±12.11)mL,(13.21±2.91)min,(67.97±20.13)min,(37.62±0.48)℃,(6.75±0.75)d,respectively,the differences between the two groups were statistically significant(t=41.049,22.130,11.181,2.588,8.606,all P<0.05).The serum β-HCG at 1d,4d,7d after operation of the observation group were (587.54±105.14)U/L,(141.28±41.21)U/L,(52.47±22.32)U/L,respectively,which of the control group were (609.45±114.89)U/L,(238.43±52.16)U/L,(115.33±26.15)U/L,respectively,the serum-HCG values of the two groups were lower than before operation,there were significant difference between the two groups in serum-HCG after operation at 4d and 7d(t=11.320,14.162,all P<0.05).The effective rate of the observation group was 98.33%,which of the control group was 86.67%,and the difference between the two groups was statistically significant(χ2=5.885,P<0.05).Conclusion The laparoscopic surgical treatment of tubal pregnancy patients with preoperative injection of pituitrin can not only reduce the bleeding in the operation and shorten the operation time and hospital stay,lower blood β-HCG level,also can improve the clinical curative effect,it is worthy of popularization and application.
