腹腔镜输卵管开窗取胚术治疗宫外孕的效果及对输卵管通畅情况的影响

Curative effect of laparoscopic salpingostomy on ectopic pregnancy and its influences on tubal patency

目的探讨腹腔镜输卵管开窗取胚术治疗宫外孕的效果及对输卵管通畅情况的影响。方法选取2018年1月至2019年4月本院收治的60例确诊为宫外孕的患者,按手术方法不同分为观察组和对照组,每组30例。观察组使用腹腔镜输卵管开窗取胚术,对照组行开腹输卵管切除术。比较两组手术情况、术后输卵管通畅情况、人绒毛膜促性腺激素(β-HGG)变化情况。结果观察组术中出血量少于对照组(P<0.05);观察组手术时间、住院时间均短于对照组(P<0.05);观察组术后输卵管通畅发生率为63.33%,高于对照组的30.00%(P<0.05);观察组术后输卵管堵塞发生率为10.00%,低于对照组的36.67%(P<0.05);两组术后输卵管通而不畅发生率比较差异无统计学意义;观察组术后3 d、7 dβ-HGG水平均低于术前(P<0.05)。结论腹腔镜输卵管开窗取胚术治疗宫外孕的效果显著,可以减少患者术中出血量,缩短手术时间,提高输卵管通畅率,降低β-hGG水平。

Objective To explore curative effect of laparoscopic salpingostomy on ectopic pregnancy and its influences on tubal patency.Methods 60 patients who were confirmed with ectopic pregnancy who were admitted to the hospital from January 2018 to April 2019 were enrolled.They were divided into observation group and control group according to different surgical methods,with 30 cases in each group.The observation group underwent laparoscopic salpingostomy,while control group underwent open salpingectomy.The operation status,postoperative tubal patency and changes of human chorionic gonadotropin(β-HGG)were compared between the two groups.Results The intraoperative blood loss in observation group was less than that in control group(P<0.05),operation time and hospitalization time were shorter than those in control group(P<0.05).The incidence of postoperative tubal patency in observation group was higher than that in control group(63.33%vs.30.00%)(P<0.05),while incidence of postoperative tubal occlusion was lower than that in control group(10.00%vs.36.67%)(P<0.05).There was no significant difference in incidence of postoperative tubal incomplete patency between the two groups.At 3 d and 7 d after surgery,the level ofβ-HGG in observation group was lower than that before surgery(P<0.05).Conclusion The cuartive effect of laparoscopic salpingostomy is significant on ectopic pregnancy,which can reduce intraoperative blood loss,shorten operation time,improve tubal patency rate,and reduceβ-HGG level.