摘要
目的探讨腹腔镜下输卵管妊娠开窗取胚术联合输卵管缝合术治疗输卵管妊娠的临床效果。方法选取选取2013年10月~2016年8月郏县中医院收治的83例输卵管妊娠患者,根据是否选择输卵管缝合术分为两组,观察组42例与对照组41例。两组均行腹腔镜下输卵管妊娠开窗取胚术,观察组联合输卵管缝合术,对照组未予以输卵管缝合。对比两组手术一般情况、术后3个月输卵管通畅程度,随访1年,统计两组宫内妊娠率及再次输卵管妊娠发生率。结果观察组手术时间较对照组长(P<0.05),术中出血量与对照组比较无显著差异(P>0.05);(P<0.05);术后随访1年,观察组宫内妊娠率较对照组高,再次输卵管妊娠发生率与对照组比较无显著差异(P>0.05)。结论腹腔镜下输卵管妊娠开窗取胚术联合输卵管缝合术虽可增加手术时间,但有利于提高输卵管通畅率及宫内妊娠率。
Objective To investigate the clinical effect of laparoscopic salpingotomy for tubal pregnancy combined with tubal stapling in the treatment of tubal pregnancy.Methods 83 cases of tubal pregnancy in Jiaxian Hospital of Traditional Chinese Medicine were selected and divided into the observation group(n=42)and the control group(n=41)according to whether the patient chose tubal stapling.The two groups were treated with laparoscopic salpingotomy for tubal pregnancy,and the observation group was combined with tubal stapling,but the control group did not give tubal stapling.The general operation of the two groups and the patency of fallopian tubes at 3 months after operation were compared.Following up for 1 year,the rates of intrauterine pregnancy and re-tubal pregnancy in two groups were counted.Results The operation time of the observation group was longer than that of the control group(P<0.05).There was insignificant difference in intraoperative blood loss between two groups(P>0.05)The patency rate of fallopian tube in the observation group after 3 months of operation,which was higher than that in the control group(P<0.05).After the follow-up for 1 year,the observation group intrauterine pregnancy rate was higher than that of the control group;the rate of tubal pregnancy again in the observation was compared with the control group,which was insignificant difference(P>0.05).Conclusion Laparoscopic salpingotomy for tubal pregnancy combined with tubal stapling can increase the time of operation,but it can improve the patency rate of fallopian tube and the rate of intrauterine pregnancy.
作者
姚晓红
YAO Xiao-hong(Department of Obstetrics,Jiaxian Hospital of Traditional Chinese Medicine,Pingdingshan,Henan,467100,China)
出处
《临床研究》
2018年第5期51-52,共2页
Clinical Research
