Objectives:To study the impact of conservative surgery and resection of fallopian tube operation on depression status and life quality of patients with ectopic pregnancy.Methods:100 patients with ectopic pregnancy in our hospital from January 2014 to January 2015 were chosen.According to the indication and patients' well,they were randomly divided into conservative surgery group (n =50) and resection of fallopian tube operation group (n =50).Conservative treatment group received side oviduct injection of methotrexate treatment,and resection of fallopian tube operation group received resection of fallopian tube operation.Hamilton anxiety scale (SAS) and Hamilton depression scale (SDS) were used to evaluate psychological status of patients before and after treatment.Quality of life scale short form (WHOQOL BREF) was used to evaluate quality of life after treatment.The two groups were followed up for 1 ～ 2 years to compare the intrauterine pregnancy rate.Results:Before the treatment,differences in SAS scores and SDS scores between the two groups had no statistical significance (P ＞ 0.05).After treatment,SAS score and SDS score of conservative treatment group were significantly lower than these of resection of fallopian tube operation group (P ＜ 0.05).After treatment,each factor score and total score of quality of life measurement scale in conservative treatnent group was significantly higher than these in resection of fallopian tube operation group (P ＜ 0.05).After treatment,intrauterine pregnancy rate of conservative treatment group was significantly higher than that of resection of fallopian tube operation group (P ＜ 0.05).Conclusion:Ectopic pregnancy patients treated with conservative methods have higher security,with higher rate of intrauterine pregnancy.It can also improve the patient's psychological status and quality of life.%目的:探讨保守手术治疗与切除输卵管手术对于异位妊娠患者抑郁状况和生活质量影响效果对比.方法:选取2014年1月至2015年1月在我院接受治疗的异位妊娠患者100例,按照患者的适应证和患者自己的意愿,分为保守手术治疗组(n=50)和切除输卵管手术组(n=50),对保守手术治疗组患者采取腹腔镜下患侧输卵管注射甲氨蝶呤的治疗方法,对切除输卵管手术组患者采取腹腔镜下输卵管切除手术的治疗方法,采用汉密尔顿焦虑量表(SAS)和汉密尔顿抑郁量袁(SDS)评价两组患者治疗前后的心理状态,采用生存质量测定量表简表(WHOQOL-BREF)评价两组患者治疗后的生存质量.对两组患者进行1～2年的随访,比较两组患者的宫内妊娠率.结果:保守手术治疗组手术时间较切除输卵管手术组长(P＜0.05),而术中出血量和住院时间明显少于切除输卵管手术组(P＜0.05).两组不良反应发生情况比较无统计学差异(P＞0.05).治疗前,保守手术治疗组与切除输卵管手术组患者的SAS评分和SDS评分差异无统计学意义(P＞0.05);治疗后,保守手术治疗组患者的SAS评分和SDS评分显著低于切除输卵管手术组患者(P＜0.05);治疗后,保守手术治疗组患者的生存质量测定量表简表各个因子评分及生存质量总分显著高于切除输卵管手术组(P＜0.05).结论:异位妊娠患者采取腹腔镜保守手术治疗方法具有更高的安全性,能够具有更高的宫内妊娠率,帮助改善患者的心理状况和生存质量.
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