摘要
目的 对比单孔腹腔镜与开腹输卵管取胚术对输卵管异位妊娠患者的疗效及对宫内妊娠率和输卵管通畅率的影响。方法 选取2017年12月至2019年12月期间于本院治疗输卵管异位妊娠的患者112例作为研究对象,根据手术方式不同分为OS组57例和UOTLS组55例,OS组予以开腹输卵管取胚术,UOTLS组予以单孔腹腔镜下输卵管取胚术。观察两组患者手术时间、术中出血量、术后VAS评分、术后首次排气时间、术后首次排便时间、术后首次下床时间以及术后住院时间,对比两组患者输卵管通畅率、复发率、宫内妊娠率、不孕率以及并发症发生情况。结果 UOTLS组患者术中出血量显著少于OS组,差异具有统计学意义(P<0.05)。OS组手术时间显著短于UOTLS组,差异具有统计学意义(P<0.05)。两组术后2 h的VAS评分无明显差异(P>0.05),但UOTLS组术后1 d和3 d的VAS评分均显著低于OS组,差异具有统计学意义(P<0.05)。UOTLS组患者手术结束至肛门首次排气时间、首次排便时间、首次下床活动时间以及术后住院总时间均显著短于OS组患者,差异具有统计学意义(P<0.05)。UOTLS组输卵管通畅率为96.36%,显著高于OS组的84.21%,差异具有统计学意义(P<0.05)。UOTLS组患者宫内妊娠率为96.36%,显著高于OS组的84.21%,差异具有统计学意义(P<0.05)。UOTLS组不孕率小于OS组,差异具有统计学意义(P<0.05)。UOTLS组复发率小于OS组,但差异无统计学意义(P>0.05)。两组患者术后并发症的发生率差异无统计学意义(P>0.05)。结论 与OS术相比,UOTLS术手术出血少,术后胃肠道功能及切口恢复快,有助于提高功能妊娠率以及输卵管通畅率,降低不孕率。
Objective To compare the effect of single-port laparoscopic and open oviduct embryo extraction on patients with ectopic pregnancy of fallopian tube and its influence on intrauterine pregnancy rate and oviduct patency rate.Methods Atotal of 112 patients with ectopic tubal pregnancy treated in our hospital from December 2017 to December 2019 were included in the study. They were divided into OS group(n=57) and UOTLS group(n=55), OS group was treated with open oviduct embryo extraction, and UOTLS group was treated with single-port laparoscopic oviduct embryo extraction. The operation time, intraoperative bleeding volume, VAS score, first exhaust time, first defecation time, first out of bed time and hospital stay were observed. The patency rate of fallopian tube, recurrence rate, intrauterine pregnancy rate, infertility rate and complications were compared between the two groups.Results The intraoperative blood loss in UOTLS group was significantly lower than that in OS group(P<0.05). The operation time in OS group was significantly shorter than that in UOTLS group(P<0.05). There was no significant difference in VAS score between the two groups at 2 hours after operation(P>0.05), but the VAS score of the UOTLS group at 1 and 3 days after operation was significantly lower than that of the OS group(P<0.05). The time from the end of operation to the first exhaust of anus, the first defecation, the first time to get out of bed and the total time of hospitalization in UOTLS group were significantly shorter than those in OS group(P<0.05). The tubal patency rate of UOTLS group was 96.36%, which was significantly higher than that of OS group(84.21%,P<0.05).The intrauterine pregnancy rate in UOTLS group was 96.36%, which was significantly higher than that in OS group(84.21%,P<0.05).The infertility rate in UOTLS group was lower than that in OS group(P<0.05).The recurrence rate in UOTLS group was lower than that in OS group, but there was no significant difference(P>0.05).There was no significant difference in the incidence of
作者
郭姣姣
GUO Jiaojiao(Department of Gynecology,The First Affiliated Hospital of Henan University of Science and Technology,Luoyang 471000 China)
出处
《内蒙古医学杂志》
2022年第10期1195-1198,共4页
Inner Mongolia Medical Journal
