对腹腔镜输卵管开窗取胚术、输卵管切除术治疗输卵管妊娠价值比较  

To Compare the Value of Laparoscopic Tubal Fenestration and Salpingectomy for Tubal Pregnancy

作　　者：候琳 邹晓霞[1] 张光兰 谢秀超 李旭[1] 廖丽 HOU Lin;ZOU Xiao-xia;ZHANG Guang-lan;XIE Xiu-chao;LI Xu;LIAO Li(Suining First People’s Hospital,Sichuan Suining 629000)

机构地区：[1]遂宁市第一人民医院,四川遂宁629000

出　　处：《中国医疗器械信息》2022年第18期55-57,共3页China Medical Device Information

摘　　要：目的:对比腹腔镜输卵管开窗取胚术、输卵管切除术在输卵管妊娠中的手术效果。方法:选取2018年1月~2020年1月在本院行腹腔镜术治疗的输卵管妊娠患者86例,依据奇数偶数分组法将患者分成观察组和对照组,各43例。将实施腹腔镜下输卵管切除术治疗的作为对照组,将实施腹腔镜下输卵管开窗取胚术的作为观察组,对比2组手术治疗效果。结果:观察组术中出血量、术后VAS评分、手术时间均低于对照组,P<0.05;2组术后排气时间、HCG恢复正常时间、住院时间相比,P>0.05;观察组术后1年宫内妊娠率为67.14%高于对照组的44.19%,2组再次异位妊娠率、手术成功率比较,P>0.05;观察组治疗后的FSH、LH、E2等性激素水平均高于对照组,P<0.05。结论:相较于腹腔镜下输卵管切除术,采用腹腔镜下输卵管开窗取胚术手术过程更加安全,宫内妊娠率高,再次异位妊娠发生率并未明显增加,值得借鉴。Objective:To compare the surgical effects of laparoscopic tubal fenestration and salpingectomy in tubal pregnancy.Methods:A total of 86 cases of tubal pregnancy treated by laparoscopy in our hospital from January 2018to January 2020 were selected.According to the odd and even grouping method,the patients were divided into observation group and control group,43 cases in each group.The patients treated with laparoscopic salpingectomy were taken as the control group,and the patients treated with laparoscopic salpingectomy were taken as the observation group,and the surgical effects of the two groups were compared.Results:The amount of intraoperative blood loss,postoperative VAS score and operation time in the observation group were lower than those in the control group,P<0.05;Postoperative exhaust time,HCG recovery time and hospital stay of the two groups were compared,P>0.05;The intrauterine pregnancy rate of the observation group was 67.14%one year after operation,which was higher than that of the control group(44.19%).The levels of FSH,LH,E2 and other sex hormones in the observation group were higher than those in the control group,P<0.05.Conclusion:Compared with laparoscopic salpingectomy,laparoscopic tubal fenestrectomy is a safer surgical procedure with high intrauterine pregnancy rate and no significant increase in the incidence of second ectopic pregnancy,which is worthy of reference.

关 键 词：宫内妊娠 异位妊娠 腹腔镜 输卵管开窗取胚术 输卵管切除术 

分 类 号：R713.51[医药卫生—妇产科学]