腹腔镜下不同术式在输卵管妊娠患者中的疗效及对卵巢储备功能的影响研究  

Comparison of the effects of different laparoscopic surgical procedures in patients with tubal pregnancy and its effect on ovarian reserve

作　　者：韩昕倬 厉晓帆[2] 王海玲 王君伟 曹丹丹 HAN Xin-zhuo;LI Xiao-fan;WANF Hai-ling;WANG Jun-wei;CAO Dan-dan(Department of Obstetrics and Gynecology,1.Beijing Luhe Hospital,Capital Medical University;Peking University Third Hospital Haidian District,Beijing 100085,China)

机构地区：[1]首都医科大学附属北京潞河医院妇产科 [2]北京大学第三医院海淀院区妇产科,北京100085

出　　处：《川北医学院学报》2021年第12期1642-1644,共3页Journal of North Sichuan Medical College

摘　　要：目的:探讨腹腔镜下不同术式在输卵管妊娠患者中的疗效及对患者卵巢储备功能影响。方法:选取124例输卵管妊娠患者为研究对象,按照腹腔镜术式不同分为对照组和观察组,每组各62例。对照组行腹腔镜输卵管开窗妊娠物取出术;观察组行腹腔镜输卵管切除术。比较两组患者手术指标、卵巢储备功能、术后并发症发生率及生育能力。结果:观察组手术时间短于对照组(P<0.05)。两组患者术后并发症发生率比较,差异无统计学意义(P>0.05)。术后12个月,观察组平均收缩期峰值血流速度(PSV)、平均舒张末期最低血流速度(EDV)水平及宫内妊娠率高于对照组(P<0.05);平均阻力指数(RI)、卵巢横截面积及异位妊娠、不孕发生率低于对照组(P<0.05)。结论:腹腔镜输卵管切除术治疗输卵管妊娠患者创伤较小,对患者卵巢功能及生育能力影响小,值得推广应用。Objective:To investigate the clinical effects of different laparoscopic procedures in patients with tubal pregnancy and their influence on patients ovarian reserve.Methods:124 patients with tubal pregnancy were divided into control group and observation group according to different surgical procedures under laparoscopy,62 cases in each group.The control group were given laparoscopic fallopian tube fenestration for pregnancy removal,and the observation group was treated with laparoscopic salpingectomy.The effect of the patients was evaluated 12 months after the operation,and the surgical indicators,ovarian reserve,and postoperative complications and fertility were compared between the two groups.Results:The operation time of the observation group was shorter than that of the control group(P<0.05).There was no significant difference in the incidence of postoperative complications between the two groups(P>0.05).The PSV,EDV levels and intrauterine pregnancy rate of the observation group were higher than those of the control group at 12 months after the operation(P<0.05),the RI,ovarian cross-sectional area,incidence of ectopic pregnancy and infertility were lower than those of the control group(P<0.05).Conclusion:Laparoscopic salpingectomy is safer in the treatment of tubal pregnancy,has less trauma to the body,can improve the patient s fertility,and can reduce the impact on ovarian function.It is worthy of popularization and application.

关 键 词：输卵管妊娠 腹腔镜 输卵管切除术 输卵管开窗术 卵巢储备功能 

分 类 号：R713.8[医药卫生—妇产科学]