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| The effect of laparoscopic conservative surgery on tubal pregnancy |
| 404 Hospital of Central Nuclear Company, Jiayuguan City, Gansu Province, 735100 |
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Abstract Objective: To observe the effect of laparoscopic conservative surgery for treating women with tubal pregnancy, and to study its influence on HCG level of patients. Methods: The patients with tubal pregnancy were selected and were divided into study group (patients underwent laparoscopic conservative surgery) and control group (patients underwent laparoscopic salpingectomy) according to the treatment methods from February 2015 to March 2016. The levels of chorionic gonadotropin (HCG), and situations of operation and followed up of women in both groups were observed. Results: Compared with those of patients in the control group, the operation time of patients in the study group was significant shorter, the volume of blood loss during operation was significant less, the rate of HCG level declined in 3 days after operation was significant lower, and time of HCG level returned to normal was significant longer (P<0.001), but the pelvic blood volume had no difference. The pregnancy rate of patients in the study group within 3 years after operation was 87.5%, which was significant higher than that (55.0%) of patients in the control group (P=0.001), and the satisfaction degree of patients in the study group was 95.0%, which had no significant difference from that (85.0%) of patients in the control group (P=0.013). There was no difference in the incidence of repeated ectopic pregnancy within 3 years after operation between the two groups. Conclusion: Laparoscopic conservative surgery for treating patients with ectopic pregnancy has the same effect as laparoscopic salpingectomy. The time of HCG level of patients returning normal after laparoscopic conservative is long, but the trauma is less. The pregnancy rate of patients within 3 years after laparoscopic conservative increases, but ectopic pregnancy rate dose not increase, so it has good application value.
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