摘要
目的探讨输卵管妊娠患者术前血β-人绒毛膜促性腺激素（β—HCG）水平的高低变化，并采用不同术式来观测患侧输卵管通畅功能的关联关系。方法将随机收治的异位妊娠者248例中纳入有资料随访的115例列入调查（52．99％），115例输卵管妊娠未破裂型患者行保守性手术治疗，手术后3—6个月内行输卵管造影术，了解术后输卵管的通畅情况与手术前血中β—HCG值高低的关系。结果①血中β-HCG值高分组（〉3U／L）、低分组（〈3U／L）输卵管通畅率分别为36．00％、67．69％，两组比较差异有统计学意义（P〈0．05）；②低值组（βHCG〈3U／L）腹腔镜术后和开腹手术后患侧输卵管通畅率峡部、壶腹部、伞部分别为20．00％、72．97％、71．43％和0、66．67％、75．00％，总输卵管通畅率分别为66．35％、68．75％；高值组（β—HCG〉3U／L）腹腔镜术后和开腹手术后患侧输卵管通畅率峡部、壶腹部、伞部分别为34．78％、50．00％、35．29％和0、40．00％、50．00％，总输卵管通畅率分别为35．29％、37．50％。两组峡部、壶腹部、伞部通畅率比较差异均有统计学意义（P〈0．05）。③不同术式（腹腔镜术和开腹手术）术后患侧输卵管的通畅率和不同部位（峡部、壶腹部、伞部）输卵管妊娠术后的通畅率比较差异均无统计学意义（P〉0．05）。结论输卵管妊娠时，术前血β—HCG值越高，保守性手术后的患侧输卵管通畅率越低，且与术式和部位无关。
Objective To discuss the variation of β- HCG in the fallopian pregnancy patients and to observe the correlation between different modus operandi and oviducal function. Methods 115 fallopian pregnancy patients of 248 inpatients were randomly accepted （52.99%）. Conservatism operation was used to treat all of the 115 patients. Visualization of oviduct was used to observe the variation of β- HCG and oviducal function after 3 - 6 mounths. Results （1） The easy and smooth rate of oviduct in β- HCG high and low group was 36.00% and 67.69%, respectively. There was significant difference between the two groups. （2）After laparoscopic operation and operation on abdominal region, the easy and smooth rate of tubal isthmus, ampulla of uterine tube and fimbria tubaria was 20.00% ,72.97% ,74. 43% and 0,66.67% ,75.00% in β- HCG high group, respectively. The total easy and smooth rate of tubal isthmus was 35.29% , 37.50% in β-HCG high group, respectively. The easy and smooth rate of tubal isthmus, ampulla of uterine tube and fimbria tubaria was 34.78% ,50% ,35.29% and 0, 40.00% , 50. 00%, respectively in β- HCG low group. The total easy and smooth rate of tubal isthmus was 35.29%, 37.50% in β- HCG low group, respectively. There was significant difference between them. （3）There was significant difference between different operation and different position of oviduct. Conclusions In thefallopian pregnancy patients, the higher of β-HCG, the easy and smooth rate of tubal isthmus is lower. There is no relationship between different operation and different position of oviduct.
出处
《中国实用医刊》
2009年第15期24-26,共3页
Chinese Journal of Practical Medicine
