腹腔镜下抽芯法患侧输卵管切除术与患侧输卵管全切术治疗异位妊娠的临床对照试验  

Clinical Controlled Trial of Laparoscopic Core-pulling Tubal Resection on the Affected Side and Total Tubal Resection on the Affected Side for Ectopic Pregnancy

作　　者：魏伟[1] 赵慧娟 刘湘翠 WEI Wei;ZHAO Huijuan;LIU Xiangcui(Heze Medical College,Heze 274000,China;不详)

机构地区：[1]菏泽医学专科学校,山东菏泽274000 [2]菏泽医学专科学校附属医院 [3]山东省菏泽市牡丹人民医院

出　　处：《中国医学创新》2023年第13期9-12,共4页Medical Innovation of China

摘　　要：目的:研究腹腔镜下抽芯法患侧输卵管切除术与患侧输卵管全切术治疗异位妊娠的临床意义。方法:选取2018年10月-2020年10月菏泽医学专科学校附属医院收治的94例异位妊娠患者,根据随机数字表法将其分为观察组47例,对照组47例。观察组采用腹腔镜下抽芯法患侧输卵管切除术,对照组采用腹腔镜下患侧输卵管全切术。比较两组卵泡刺激素(FSH)、促黄体生成素(LH)、雌二醇(E2)、血清抗米勒管激素(AMH)、窦卵泡数、卵巢间质动脉收缩期的峰值流速(PSV)及血流阻力指数(RI)。结果:两组手术时间、术中出血量、住院时间比较,差异均无统计学意义(P>0.05)。术前和术后1个月,两组FSH、LH、E2比较,差异均无统计学意义(P>0.05)。两组术后1个月AMH水平及窦卵泡数均低于术前,观察组均高于对照组,差异均有统计学意义(P<0.05)。术后1个月,两组PSV均低于术前,RI均高于术前,术后观察组PSV高于对照组,RI低于对照组,差异均有统计学意义(P<0.05)。结论:腹腔镜下抽芯法患侧输卵管切除术治疗异位妊娠对患者卵巢储备功能影响较小,为临床治疗的理想术式。Objective:To study the clinical significance of laparoscopic core-pulling tubal resection on the affected side and total tubal resection on the affected side for ectopic pregnancy.Method:A total of 94 patients with ectopic pregnancy admitted to the Affiliated Hospital of Heze Medical College from October 2018 to October 2020 were selected,they were divided into observation group(47 cases)and control group(47 cases)according to random number table method.The observation group received laparoscopic core-pulling tubal resection on the affected side,and the control group received laparoscopic total tubal resection on the affected side.The follicle-stimulating hormone(FSH),luteinizing hormone(LH),estradiol(E2),anti-Müllerian hormone(AMH),sinus follicle number,the peak systolic velocity(PSV)and resistance index(RI)of arterial interstitial ovary were compared between the two groups.Result:There were no significant differences in surgical time,intraoperative blood loss and hospital stay between the two groups(P>0.05).Before surgery and 1 month after surgery,there were no significant differences in FSH,LH and E2 between the two groups(P>0.05).1 month after surgery,the AMH levels and the number of sinus follicles in both groups were lower than those before surgery,those in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).1 month after surgery,the PSV in both groups were lower than those before surgery,the RI were higher than those before surgery,PSV in the observation group was higher than that in the control group,RI was lower than that in the control group,the differences were statistically significant(P<0.05).Conclusion:Laparoscopic core-pulling tubal resection on the affected side for ectopic pregnancy has little effect on ovarian reserve function,it is an ideal surgery for clinical treatment.

关 键 词：异位妊娠 抽芯法患侧输卵管切除术 窦卵泡数 

分 类 号：R713.8[医药卫生—妇产科学]