Effects of laparoscopic conservative the treatment and radical operation on tubal pregnancy

Abstract

Objective To investigate the clinical effects of laparoscopic conservative surgery and radical operation on tubal pregnancy. Methods A total of 100 women who were diagnosed as tubal pregnancy were randomly divided into conservative group (laparoscopic conservative treatment) and radical treatment group (laparoscopic radical treatment). The general data, the intraoperative conditions, the incidence of persistent ectopic pregnancy after operation and the fertility rate of two years after the operation of the two groups were compared. Results There was no significant difference between the two groups in general data (P>0.05). The patients in the conservative group and the radical group were successfully operated and had no massive bleeding. There were significant differences in the blood loss and operation time between the conservative group and the radical group during the operation (P<0.05). The incidence of persistent ectopic pregnancy in the conservative group (12%) was higher than that of the radical group (2%), the difference was significant (P<0.05). The 2-year fertility rate of the conservative group (68%) was higher than that of the radical group (42%), and the difference was significant (P<0.05). Conclusions Conservative surgery increases postoperative intrauterine pregnancy rate, and the radical operation has lower risk of recurrent ectopic pregnancy after operation, but the injury of fallopian tube is not conducive to the patient’s pregnancy. There is a growing demand for patients who need to weigh the advantages and disadvantages to make a choice. Key words: Laparoscope; Conservative; Radical cure; Fallopian tube; Pregnancy