腹腔镜下输卵管切开取胚术与输卵管切除术治疗输卵管妊娠的临床疗效分析  

Clinical efficacy analysis of laparoscopic salpingectomy and embryo extraction and salpingectomy in the treatment of tubal pregnancy

作　　者：朱银凤 刘洋 尚明英 ZHU Yinfeng;LIU Yang;SHANG Mingying(Linyi Maternal and Child Health Hospital,Linyi,Shandong,276000,China)

机构地区：[1]临沂市妇幼保健院妇科,山东临沂276000

出　　处：《当代医学》2023年第19期67-70,共4页Contemporary Medicine

摘　　要：目的探讨腹腔镜下输卵管切开取胚术与输卵管切除术治疗输卵管妊娠的临床疗效。方法选取2019年6月至2021年6月本院收治的150例输卵管妊娠患者作为研究对象,采用随机数字表法分为对照组与观察组,每组75例。对照组采用腹腔镜下输卵管切除术,观察组采用腹腔镜下输卵管切开取胚术,比较两组手术前后β-人绒毛膜促性腺激素(β-HCG)水平、手术情况(术中失血量、手术时间、住院时间)、术后再次妊娠情况(异位妊娠、宫内妊娠、未孕)、焦虑与抑郁程度。结果术后11 d,两组β-HCG水平均低于术后2 d,差异有统计学意义(P<0.05);两组间术后2、11 dβ-HCG水平比较差异无统计学意义。观察组术中失血量多于对照组,手术时间长于对照组,差异有统计学意义(P<0.05);两组住院时间比较差异无统计学意义。两组异位妊娠率比较差异无统计学意义;观察组宫内妊娠率高于对照组,未孕率低于对照组,差异有统计学意义(P<0.05)。术后,两组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均低于术前,且观察组低于对照组,差异有统计学意义(P<0.05)。结论腹腔镜下输卵管切开取胚术可顺利清除异位妊娠组织,治疗效果较好,可提高宫内妊娠率,改善患者负性情绪。Objective To investigate the clinical efficacy of laparoscopic salpingectomy and embryo extraction and salpingectomy in the treatment of tubal pregnancy.Methods 150 patients with tubal pregnancy admitted to our hospital from June 2019 to June 2021 were selected as the research subjects,and they were divided into the control group and the observation group according to the random number table method,with 75 cases in each group,the control group received laparoscopic salpingectomy,and the observation group received laparoscopic salpingectomy and embryo extraction.The levels ofβ-human chorionic gonadotropin(β-HCG)before and after surgery,operation conditions(intraoperative blood loss,operation time,hospitalization time),postoperative repregnancy(ectopic pregnancy,intrauterine pregnancy,non-pregnancy),anxiety and depression degree were compared between the two groups.Results 11 d after surgery,theβ-HCG level of the two groups was lower than that on the 2 d after surgery,and the difference was statistically significant(P<0.05),there was no significant difference inβ-HCG levels between the two group at 2,11 d after surgery.The intraoperative blood loss in the observation group was more than that in the control group,and the operation time was longer than that in the control group,the differences were statistically significant(P<0.05);there was no significant difference in the hospitalization time between the two groups.There was no significant difference in the ectopic pregnancy rate between the two groups;the rate of intrauterine pregnancy in the observation group was higher than that in the control group,and the rate of non-pregnancy was lower than that in the control group,the differences were statistically significant(P<0.05).After surgery,the self rating anxiety scale(SAS)and self rating depression scale(SDS)scores of the two groups were lower than those before surgery,and the observation group was lower than the control group,and the differences were statistically significant(P<0.05).Conclusion Laparoscopic s

关 键 词：输卵管妊娠 腹腔镜下输卵管切开取胚术 输卵管切除术 Β-人绒毛膜促性腺激素 术后再次妊娠情况 

分 类 号：R713.8[医药卫生—妇产科学]