腹腔镜下输卵管开窗取胚术与输卵管切除术治疗输卵管妊娠患者的效果比较  

Comparison of effects of laparoscopic fallopian tube fenestration for embryo retrieval and salpingectomy in treatment of patients with tubal pregnancy

作　　者：李鹏军 LI Pengjun(Department of Obstetrics and Gynecology of Anyang Maternal and Child Health Hospital,Anyang 455000 Henan,China)

机构地区：[1]安阳市妇幼保健院妇产科,河南安阳455000

出　　处：《中国民康医学》2024年第19期155-157,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:比较腹腔镜下输卵管开窗取胚术与输卵管切除术治疗输卵管妊娠患者的效果。方法:选取2020年1月至2021年6月该院收治的120例输卵管妊娠患者进行前瞻性研究,按照随机数字表法将其分为观察组与对照组各60例。对照组采用腹腔镜下输卵管切除术治疗,观察组采用腹腔镜下输卵管开窗取胚术治疗,比较两组手术时间、术中出血量、术后首次肛门排气时间、住院时间,术后1年输卵管妊娠复发率、宫内妊娠率和流产率,卵巢功能指标[血清抗米勒管激素(AMH)]水平和并发症发生率。结果:观察组术后首次肛门排气时间、住院时间短于对照组,术中出血量少于对照组,差异均有统计学意义(P<0.05);术后1年,观察组宫内妊娠率为63.33%,明显高于对照组的36.67%,差异有统计学意义(P<0.05);观察组并发症发生率为3.33%,明显低于对照组的15.00%,差异有统计学意义(P<0.05);两组手术时间、术后输卵管妊娠复发率、流产率、血清AMH水平比较,差异均无统计学意义(P>0.05)。结论:腹腔镜下输卵管开窗取胚术治疗输卵管妊娠患者可提高术后1年宫内妊娠率,缩短术后首次肛门排气时间和住院时间,以及降低术中出血量和并发症发生率,效果优于输卵管切除术治疗。Objective:To compare effects of laparoscopic fallopian tube fenestration for embryo retrieval and salpingectomy in treatment of patients with tubal pregnancy.Methods:A prospective study was conducted on 120 patients with tubal pregnancy admitted to the hospital from January 2020 to June 2021.According to the random number table method,they were divided into observation group and control group,60 cases in each group.The control group was treated with laparoscopic salpingostomy,while the observation group was treated with laparoscopic fallopian tube fenestration for embryo retrieval.The operation time,the intraoperative blood loss,the postoperative first anal exhaust time,the hospitalization time,the recurrence rate of tubal pregnancy,the intrauterine pregnancy rate,and the abortion rate 1 year after the surgery,the ovarian function index[serum anti-Müllerian hormone(AMH)]levels,and the incidence of complications were compared between the two groups.Results:The first anal exhaust time and the hospitalization time in the observation group were shorter than those in the control group,the intraoperative blood loss was shorter than that in the control group,and the differences were statistically significant(P<0.05).One year after the surgery,the intrauterine pregnancy rate of the observation group was 63.33%,which was significantly higher than 36.67%of the control group,and the difference was statistically significant(P<0.05).The incidence of complications in the observation group was 3.33%,which was significantly lower than 15.00%in the control group,and the difference was statistically significant(P<0.05).However,there were no significant differences in the operation time,the postoperative tubal pregnancy recurrence rate,the abortion rate and the serum AMH levels between the two groups(P>0.05).Conclusions:Laparoscopic fallopian tube fenestration for embryo retrieval for tubal pregnancy can improve the intrauterine pregnancy rate 1 year after the surgery,shorten the first anal exhaust time and the hospitalization tim

关 键 词：腹腔镜下输卵管开窗取胚术 输卵管切除术 输卵管妊娠 宫内妊娠率 出血量 并发症 

分 类 号：R713.8[医药卫生—妇产科学]