不同手术方案治疗输卵管妊娠对患者术后生育结局的影响对比  

Effect of the different operation schemes in treatment of tubalinfluence on reproductive outcome in postoperative patients after pregnancy

作　　者：吴海峰[1] 杨慧云[1] 朱筱娟[1] 徐永红[1] 尹秀凤[1] 

机构地区：[1]江苏省宜兴市人民医院妇产科,江苏宜兴214200

出　　处：《吉林医学》2015年第12期2455-2456,共2页Jilin Medical Journal

基　　金：无锡市卫生局科技项目【锡卫科教(2009)14号】

摘　　要：目的：研究不同手术方案治疗输卵管妊娠后对患者术后生育结局的影响。方法：选取诊断为输卵管妊娠的患者164例患者，采取腹腔镜和开腹手术方式，进行输卵管保守手术和根治手术进行治疗。随访12~60个月，记录患者术后生育结局。结果：对两组手术治疗方案进行χ2检验，得到结果P＜0.01，差异有显著统计学意义。根据结果显示腹腔镜手术比开腹手术更容易发生宫内妊娠且异位妊娠的发生机会也随之降低。但经比较，术后仍然不孕的患者在两组间比较，差异无统计学意义（ P＞0.05）。此外，输卵管切除术较输卵管保守性手术有较低的宫内妊娠率及较高的重复性异位妊娠率，术后不孕发生率也较高。结论：可以得出在宫内妊娠和异位妊娠在发生的机会可以得出腹腔镜手术好于开腹手术。输卵管保守手术明显好于根治手术，且有利于术后获得正常宫内妊娠。objective To study the different operation schemes in treatment of tubalinfluence on reproductive outcome in postoperative pa-tients after pregnancy. Method 164 cases of tubal pregnancy patients with laparoscopic and openoperation were selected,they adopted the way of operation,fallopian tube conservative and radical operation treatment. The follow-up of 12~60 months,record the reproductive outcome in postoperative patients. Results Tfheχ2 test was performed on two groups of operation treatment,got the results of P〈0. 01,the difference was significant. According to the result of laparoscopic operation was easier than the openoperation intrauterine pregnancy and ectopic pregnancy opportunity alsodecreases. But by comparison,postoperative remains infertile patients did not differ significantly between the two groups （P〉0. 05）. In addition,salpingectomy moreconservative operation of tubal repetitive ectopic had a lower intrauterine pregnancy rate,higher preg-nancy rate and higher incidence of postoperative infertility. Conclusion It can be concluded that in the intrauterine pregnancy and ectopic pregnancy occurred in the chance of laparoscopic surgery and laparotomy in thatgood. Oviduct conservative surgery is better in radical surgery, and is conducive to obtain normal intrauterine pregnancy after operation.

关 键 词：输卵管妊娠 腹腔镜手术 根治手术 

分 类 号：R713.8[医药卫生—妇产科学]