腹腔镜下不同术式治疗异位妊娠的临床疗效及预后比较

Clinical Effect and Prognosis of Different Laparoscopic Surgery in the Treatment of Ectopic Pregnancy

目的本次研究主要分析在腹腔镜下不同术式治疗异位妊娠的临床治疗效果以及预后效果。方法选取我院2014年7月—2017年5月收治的异位妊娠患者50例作为研究对象。采用随机盲选法,将所有患者分为对照组与观察组,对照组患者采用腹腔镜下输卵管切除术,观察组患者采用腹腔镜下开窗取胚术,对比观察两组患者术后卵巢功能、异位妊娠率、输卵管通畅率。结果 (1)观察组患者术后卵巢功能各指标均优于对照组,差异均具有统计学意义(P<0.05);(2)对照组患者术后宫内妊娠率低于观察组,差异具有统计学意义(P<0.05);(3)两组患者输卵管通畅率对比,差异均无统计学意义(P>0.05)。结论相对于输卵管切除术而言,开窗取胚术对于患者的卵巢功能影响较小,并且术后患者的再次妊娠率高于输卵管切除术,但是同时异位妊娠率也低于输卵管切除术。

Objective The purpose of this study was to analyze the clinical efficacy and prognosis of different surgical treatments for ectopic pregnancy under laparoscope. Methods 50 cases of ectopic pregnancy treated in our hospital from July 2014 to May 2017 were selected as the study subjects. All the patients were divided into control group and observation group by random blind selection method, patients in the control group received laparoscopic tubal resection, the patients in observation group were treated by laparoscopic fenestration, the ovarian function, ectopic pregnancy rate and patency rate of fallopian tube were observed and compared between the two groups. Results （1） patients in the observation group after each index of ovarian function were better than the control group, the differences were statistically significant （P〈0.05）; （2） the control group of patients with postoperative intrauterine pregnancy rate was lower than the observation group, the difference was statistically significant （P〈0.05）; （3） the two groups of patients with tubal patency rate contrast, there were no significant differences （P〉0.05）. Conclusion Compared to salpingectomy, fenestration and embryo taking surgery for ovarian function in patients with less effect, and postoperative pregnancy rate of fallopian tube resection is higher than that, but at the same time the ectopic pregnancy rate is also lower than salpingectomy.