首页|腹腔镜输卵管开窗取胚术和腹腔镜输卵管切除术在宫外孕治疗中的效果分析

腹腔镜输卵管开窗取胚术和腹腔镜输卵管切除术在宫外孕治疗中的效果分析

Effect Analysis of Laparoscopic Fenestration and Laparoscopic Salpingectomy in the Treatment of Ectopic Pregnancy

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目的:研究宫外孕治疗中应用腹腔镜输卵管开窗取胚术与腹腔镜输卵管切除术的疗效.方法:根据手术方式的不同将2019年1月~2022年2月本院收治的60例宫外孕患者分为观察组(30例)与对照组(30例),分别行腹腔镜输卵管开窗取胚术、腹腔镜输卵管切除术,比较手术指标、血清人绒毛膜促性腺激素(HCG)水平、输卵管通畅情况、术后妊娠情况、并发症发生情况.结果:观察组术中出血量少于对照组,术后输卵管通畅例数占 比、宫内妊娠率均高于对照组P<0.05);两组手术时间、术后排气与住院时间、手术前后HCG水平、输卵管通畅情况、异位妊娠率及并发症发生率比较无统计学意义(P>0.05).结论:腹腔镜输卵管开窗取胚术可减少患者术中出血,提高宫内妊娠率.
Objective:To study the efficacy of laparoscopic fallopian tube fenestration and removal of embryos in the treatment of ectopic pregnancy.Methods:According to different surgical methods,60 patients with ectopic pregnancy admitted to our hospital from January 2019 to February 2022 were divided into an observation group(30 cases)and a control group(30 cases).Laparoscopic salpingostomy and laparoscopic salpingectomy were performed respectively.The basic surgical indicators,serum Human chorionic gonadotropin(HCG)levels,tubal patency,postoperative pregnancy,and complications were compared.Results:The intraoperative bleeding volume in the observation group was less than that of the control group,and the proportion of postoperative tubal patency and intrauterine pregnancy rate were higher than that of the control group(P<0.05);There was no significant difference between the two groups in operation time,postoperative exhaust and hospital stay,HCG level before and after operation,oviduct patency,ectopic pregnancy rate and complication rate(P>0.05).Conclusion:Laparoscopic fenestration of fallopian tubes for embryo retrieval can reduce intraoperative bleeding in patients and increase the rate of intrauterine pregnancy.

ectopic pregnancylaparoscopyfallopian tube fenestration embryo extractionsalpingectomy

胡小花、甘志宇、万凤娟

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新时代妇产医院(江西 南昌 330029)

宫外孕 腹腔镜 输卵管开窗取胚术 输卵管切除术

2024

中国医疗器械信息
中国医疗器械行业协会

中国医疗器械信息

影响因子:0.375
ISSN:1006-6586
年,卷(期):2024.30(8)
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