腹腔镜输卵管修补及功能再造在输卵管妊娠患者保留生育功能中的应用研究  

Study on the application of laparoscopic fallopian tube repair and functional reconstruction in the fertility retention of patients with fallopian pregnancy

作　　者：李佳琦[1] 吴晓兰[1] Li Jiaqi;Wu Xiaolan(Department of Obstetrics and Gynecology,Chengdu City No.5 People＇s Hospital,Chengdu 611130)

机构地区：[1]成都市第五人民医院妇产科,成都611130

出　　处：《陕西医学杂志》2018年第11期1420-1423,共4页Shaanxi Medical Journal

摘　　要：目的:研究腹腔镜输卵管修补及功能再造在保留输卵管妊娠患者生育功能中的应用效果。方法:选取135例输卵管妊娠患者为研究对象,将其根据治疗方式的不同分为A～I组,每组各15例。I组进行常规腹腔镜输卵管病灶清除术治疗,A～H组则在此基础上采用不同治疗方式,包括注射垂体后叶素、输卵管残腔注入50%葡萄糖、剔除妊娠黄体及缝合输卵管系膜缘,比较九组患者的术中出血量、手术时间、排气时间、下床时间、体温恢复正常时间、抗生素应用时间、住院时间、镇痛率、术后β-HCG水平、输卵管通畅情况及再次妊娠率。结果:E组的术中出血量、手术时间、排气时间、下床时间、体温恢复正常时间、抗生素应用时间、住院时间、镇痛率、术后β-HCG水平、输卵管通畅情况及再次妊娠率均优于A～D组、F～I组,C～D组及F～H组的再次妊娠率高于A～B组及I组,差异均有统计学意义(P<0.05)。结论:腹腔镜手术联合注射垂体后叶素、输卵管残腔注入50%葡萄糖、剔除妊娠黄体及缝合输卵管系膜缘在改善围术期机体各方面状态、输卵管通畅情况及再次妊娠率方面具有更好的效果,适用于输卵管妊娠手术后有生育需求的患者。ObjectiveTo study the application effect of laparoscopic fallopian tube repair and functional reconstruction in the fertility retention of patients with fallopian pregnancy.Methods：135 patients with fallopian pregnancy were selected for the study,and they were divided into group A to group I according to the differences of treatment methods,each group included 15 cases.The group I were treated with routine laparoscopic oviduct debridement,the group A to group H were treated with different treatment methods on the basic treatment,included pituitrin by injection,50%GS in residual cavity of the fallopian tube by injection,removal of the corpus luteum of pregnancy and suture of the tubal mesangial margin,then the intraoperative blood loss,operative time,exhaust time,leaving bed time,temperature recovery time,antibiotic application time,hospital stay,analgesia rate,postoperativeβ-HCG level,patency of fallopian tubes and rates of pregnancy again of nine groups were compared.Results：The intraoperative blood loss,operative time,exhaust time,leaving bed time,temperature recovery time,antibiotic application time,hospital stay,analgesia rate,postoperativeβ-HCG level,patency of fallopian tubes and rates of pregnancy again of group E were all better than those of group A to group D and group F to group I,the rates of pregnancy again of group C to group D and group F to group H were higher than those of group A to group B and group I,there were all statistically significant（ P 〈0.05）.Conclusion：The laparoscopic operation combined with pituitrin by injection,50%GS in residual cavity of the fallopian tube by injection,removal of the corpus luteum of pregnancy and suture of the tubal mesangial margin can effectively improve the perioperative various aspects of body,tubal patency and pregnancy again rate,so it is more suitable to the patients with reproductive needs after the operation of tubal pregnancy.

关 键 词：妊娠 异位/治疗 腹腔镜检查/方法 妊娠率 

分 类 号：R714.22[医药卫生—妇产科学]