两种术式治疗宫外孕的效果及对输卵管再通率、术后受孕率的影响

Effects of Two Surgical Methods on Ectopic Pregnancy and the Influence on Fallopian Tube Recanalization Rate and Postoperative Pregnancy Rate

目的对比腹腔镜手术与传统开腹手术治疗宫外孕患者的效果以及对输卵管再通率、术后受孕率的影响。方法选取2015年2月至2017年4月我院收治的50例宫外孕患者,按照手术方法分为腹腔镜组、开腹术组各25例。比较两组患者的术中出血量、手术时间、术后肛门排气时间、留置尿管时间、下床活动时间和住院时间,对患者术后宫内受孕情况以及输卵管通畅情况进行随访。结果腹腔镜组的手术时间、术中出血量、术后肛门排气时间、留置尿管时间、下床活动时间和住院时间均少于开腹术组(P <0.05)。腹腔镜组的输卵管再通畅率为92.00%,高于开腹术组的68.00%(P <0.05)。术后1年,腹腔镜组的宫内妊娠率为56.00%,高于开腹术组的28.00%(P <0.05)。结论对宫外孕患者采用腹腔镜手术治疗,具有创伤小、恢复快的优势,能够显著提高患者的输卵管再通率及术后受孕率。

Objective To compare the effects of laparoscopic surgery and traditional laparotomy in the treatment of ectopic pregnancy and the influence on fallopian tube recanalization rate and postoperative pregnancy rate.Methods 50 cases of patients with ectopic pregnancy admitted to our hospital from February 2015 to April 2017 were selected and divided into laparoscopic group and laparotomy group according to the surgical methods,with 25 cases in each group.The intraoperative blood loss,operation time,postoperative anal exhaust time,indwelling catheter time,ambulation time and hospitalization time were compared between the two groups.The postoperative intrauterine conception and tubal patency were followed up.Results The operation time,intraoperative blood loss,postoperative anal exhaust time,indwelling catheter time,ambulation time and hospitalization time of the laparoscopic group were significantly less than those of the laparotomy group(P<0.05).The fallopian tube recanalization rate of the laparoscopic group was 92.00%,higher than 68.00% of the laparotomy group(P<0.05).One year after operation,the intrauterine pregnancy rate of the laparoscopic group was 56.00%,higher than 28.00% of the laparotomy group(P<0.05).Conclusions Laparoscopic surgery in the treatment of patients with ectopic pregnancy has the advantages of small trauma and quick recovery,which can significantly improve the fallopian tube recanalization rate and postoperative pregnancy rate.