腹腔镜保守手术治疗对宫外孕患者术后受孕率的影响  

Effect of Laparoscopic Conservative Surgery on Postoperative Pregnancy Rate of Patients with Ectopic Pregnancy

作　　者：曾宪红 Zeng Xian-hong(Jianli Maternal and Child Health Hospital,Jingzhou 433300,Hubei Province,China)

机构地区：[1]湖北省监利市妇幼保健院,湖北荆州433300

出　　处：《罕少疾病杂志》2023年第9期67-69,共3页Journal of Rare and Uncommon Diseases

摘　　要：目的 研究宫外孕患者实施腹腔镜保守手术治疗后其受孕率的变化情况。方法 回顾性纳入我院复查可收治的宫外孕患者80例参加研究,纳入时间跨度为2019年3月-2022年5月,分组方式为随机抽签法,一共抽取两组,各40例患者。组名对照组、观察组,分别采取常规开腹手术、腹腔镜保守手术治疗。比较两组围术期指标、治疗前后的凝血功能指标、人绒毛促性腺激素水平、生活质量水平以及治疗后的输卵管再通和术后受孕情况。结果 对比围术期指标发现对照组不如观察组,差异明显有统计学意义(P<0.05),治疗后两组纤维蛋白原水平、生活质量评分升高,有统计学意义(P<0.05),凝血酶时间缩短,观察组短于对照组(P<0.05),人绒毛促性腺激素水平降低,视为统计学差异(P<0.05),输卵管通畅深度上,观察组更胜,术后宫内妊娠率也比对照组高(P<0.05)。结论 腹腔镜保守手术可有效改善宫外孕患者围术期指标,改善凝血功能,降低人绒毛促性腺激素水平,提高生活质量和术后受孕率。Objective To study the changes of pregnancy rate in patients with ectopic pregnancy after laparoscopic conservative surgery.Methods A total of 80 patients with ectopic pregnancy who could be reviewed and admitted to our hospital were retrospectively included in the study,the inclusion time span was from March 2019 to May 2022,and the grouping method was random drawing.Two groups with 40 patients each were selected.Control group and observation group were treated with conventional open surgery and conservative laparoscopic surgery,respectively.The perioperative indexes,coagulation function indexes,human villus gonadotropin level,quality of life level,tubal recanalization after treatment and postoperative conception of the two groups were compared.Results Comparison of perioperative indexes showed that the control group was worse than the observation group,the difference was statistically significant(P<0.05).After treatment,the fibrinogen level and quality of life score of the two groups were increased,with statistical significance(P<0.05),thrombin time was shortened,the observation group was shorter than the control group(P<0.05),and the human villus gonadotropin level was decreased.As a statistical difference(P<0.05),the depth of fallopian tube patency was better in the observation group,and the intrauterine pregnancy rate was also higher than that in the control group(P<0.05).Conclusion Laparoscopic conservative surgery can effectively improve perioperative indexes of ectopic pregnancy,improve coagulation function,reduce human villus gonadotropin level,improve quality of life and postoperative pregnancy rate.

关 键 词：宫外孕 腹腔镜保守手术 受孕率 凝血功能 人绒毛促性腺激素 

分 类 号：R714.22[医药卫生—妇产科学]