首页|输卵管切除术治疗异位妊娠效果观察及对卵巢基质血流和卵巢功能的影响

输卵管切除术治疗异位妊娠效果观察及对卵巢基质血流和卵巢功能的影响

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目的 探讨输卵管切除术治疗异位妊娠的效果及对卵巢基质血流和卵巢功能的影响。方法 选择2021年12月-2022年12月临海市妇幼保健院收治的异位妊娠患者109例,依据治疗方法分为观察组(56例)与对照组(53例)。观察组采用输卵管切除术治疗;对照组采用传统开腹手术治疗。记录两组手术指标和并发症情况;术前和术后1个月卵巢基质血流和卵巢功能变化。结果 观察组术中出血量少于对照组,手术时间短于对照组,肛门排气时间和术后下床时间短于对照组(P<0。05)。观察组并发症少于对照组(P<0。05)。两组患者术后1个月舒张期最低流速(EDV)和收缩期峰速(PSV)较术前降低,而阻力指数(RI)和搏动指数(PI)较术前升高(P<0。05);观察组患者术后1个月EDV和PSV高于对照组,而RI和PI低于对照组(P<0。05)。两组患者术后1个月血清黄体生成素(LH)和卵泡刺激素(FSH)水平较术前升高,而雌二醇(E2)水平较术前降低(P<0。05);观察组患者术后1个月血清LH和FSH水平低于对照组,而E2水平高于对照组(P<0。05)。结论 输卵管切除术治疗异位妊娠效果显著,并发症少,恢复快,且对卵巢基质血流和卵巢内功能影响小,值得临床借鉴。
Effect of salpingectomy on ovarian stromal blood flow and ovarian function in patients with ectopic pregnancy
Objective To investigate the effect of salpingectomy on ovarian stromal blood flow and ovarian function in patients with ec-topic pregnancy.Methods A total of 109 ectopic pregnancy.patients admitted to Linhai MCH Hospital from December 2021 to December 2022 were divided into observation group(56 cases)and control group(53 cases)according to treatment methods.The observation group was treated with salpingectomy.The control group was treated with traditional laparotomy.The operative indexes and complications were re-corded.Changes of ovarian stromal blood flow and ovarian function were observed before and after operation.Results The amount of blood loss during operation in the observation group was less than that in the control group,the operation time was shorter than that in the control group,and the time of anal exhaust and getting out of bed after operation were shorter(P<0.05).The complications in the observation group were less than those in the control group(P<0.05).The lowest diastolic flow rate(EDV)and systolic peak velocity(PSV)in both groups were lower than those before operation,while the resistance index(RI)and pulsation index(Pl)were higher than those before oper-ation(P<0.05).EDV and PSV in the observation group were higher than those in the control group,while RI and PI were lower than those in the control group(P<0.05).The levels of serum luteinizing hormone(LH)and follicle-stimulating hormone(FSH)were higher than those before operation,while the levels of ESTRADIOL(E2)were lower than those before operation(P<0.05).The levels of serum LH and FSH in the observation group were lower than those in the control group,while the levels of E2 were higher than those in the control group(P<0.05).Conclusion Salpingectomy is effective in treating ectopic pregnancy with less complications,quick recovery and little effect on ovarian stromal blood flow and ovarian function.

SalpingectomyEctopic pregnancyEffectOvarian stromal blood flowOvarian function

戴玲燕、孙楠、卢晓燕、金星伟

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临海市妇幼保健院妇科,浙江临海 317000

输卵管切除术 异位妊娠 效果 卵巢基质血流 卵巢功能

2025

中国妇幼保健
中华预防医学会 吉林省医学期刊社

中国妇幼保健

影响因子:1.486
ISSN:1001-4411
年,卷(期):2025.40(2)