腹腔镜手术对异位妊娠患者生殖能力及卵巢功能的影响分析

Analysis on the Effect of Laparoscopic Surgery on Reproductive Ability and Ovarian Function in Patients with Ectopic Pregnancy

目的:探讨腹腔镜手术对异位妊娠患者生殖能力以及卵巢功能的影响结果分析。方法:回顾性选取2017年5月~2018年11月于本院收治的异位妊娠患者142例,分为实验组(n=71)和对照组(n=71),实验组患者采用腹腔镜手术治疗方案,对照组患者采用常规开腹手术治疗方案,分析组间性激素水平及卵巢功能的影响。结果:术后,性激素水平变化,实验组明显高于对照组,而卵巢功能指标比较,实验组明显低于对照组,组间差异具有统计学意义(P<0.05);实验组治疗后的宫内妊娠率(90.14%)明显高于对照组(69.01%),组间妊娠情况差异具有统计学意义(P<0.05)。结论:相较于传统的开腹手术,腹腔镜手术对患者的性激素及卵巢功能恢复较好,术后宫内再妊娠率高,且安全性较高。

Objective:To investigate the effect of laparoscopic surgery on reproductive capacity and ovarian function in patients with ectopic pregnancy.Methods:From May 2017 to November 2018,142 cases of ectopic pregnancy patients were selection in our hospital.They were divided into experimental group(n=71)and the control group(n=71),the experimental group were treated by laparoscopic surgery treatment,and control group were treated by conventional open surgery.The sex hormone levels and the influence of ovarian function were analyzed.Results:After surgery,the changes of sex hormone levels in the experimental group were significantly higher than that in the control group,while the ovarian function indicators in the experimental group was significantly lower than that in the control group,there were significant differences between groups(P<0.05).After the treatment,the intrauterine pregnancy rate(90.14%)in the experimental group was significantly higher than that in the control group(69.01%),and the difference in pregnancy status was statistically significant between groups(P<0.05).Conclusion:When compares with the traditional open surgery,the laparoscopic surgery has better recovery of sex hormone and ovarian function,higher rate of postoperative intrauterine repregnancy,and higher safety.