摘要
目的:比较腹腔镜输卵管切开取胚缝合术与输卵管开窗术治疗输卵管妊娠患者的效果。方法:回顾分析2022年3月至2024年2月该院收治的93例输卵管妊娠患者的临床资料,根据手术方法不同将其分为对照组45例和观察组48例。对照组行腹腔镜下输卵管开窗术治疗,观察组行腹腔镜下输卵管切开取胚缝合术治疗。比较两组围手术期指标(手术时间、术中出血量、住院时间)水平,输卵管通畅率,手术前后血清β-人绒毛膜促性腺素(β-hCG)、卵巢储备功能指标[抗米勒管激素(AMH)、窦卵泡数(AFC)]水平,以及并发症发生率。结果:两组术中出血量、住院时间比较,差异均无统计学意义(P>0.05);观察组手术时间长于对照组,差异有统计学意义(P<0.05);两组输卵管通畅率比较,差异无统计学意义(P>0.05);术后,两组血清β-hCG水平均低于术前,但组间比较,差异无统计学意义(P>0.05);术后,两组AFC均多于术前,且观察组多于对照组,两组AMH水平均高于术前,且观察组高于对照组,差异有统计学意义(P<0.05);两组并发症发生率比较,差异无统计学意义(P>0.05)。结论:腹腔镜输卵管切开取胚缝合术治疗输卵管妊娠患者可改善卵巢储备功能指标水平,效果优于腹腔镜输卵管开窗术治疗,但会延长手术时间。
Objective:To compare effects of laparoscopic salpingotomy,embryo extraction and suture and laparoscopic tubal fenestration in treatment of patients with tubal pregnancy.Methods:The clinical data of 93 patients with tubal pregnancy admitted to this hospital from March 2022 to February 2024 were retrospectively analyzed.According to different surgical methods,they were divided into control group(45 cases)and observation group(48 cases).The control group was treated with laparoscopic tubal fenestration,while the observation group was treated with laparoscopic salpingotomy,embryo extraction and suture.The levels of perioperative indexes(operation time,intraoperative blood loss,hospitalization time),the tubal patency rate,the serumβ-human chorionic gonadotropin(β-hCG)and ovarian reserve function indexes[anti-Müllerian hormone(AMH),antral follicle count(AFC)]levels before and after the surgery,and the incidence of complications were compared between the two groups.Results:There were no significant differences in the intraoperative blood loss and the hospitalization time between the two groups(P>0.05).The operation time of the observation group was longer than that of the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the tubal patency rate between the two groups(P>0.05).After the surgery,the levels of serumβ-hCG in the two groups were lower than those before the surgery,but there was no significant difference between the two groups(P>0.05).After the surgery,the AFC levels of the two groups were more than those before the surgery,and that in the observation group was more than that in the control group;the AMH levels of the two groups were higher than those before the surgery,and that in the observation group was higher than that in the control group;and the differences were statistically significant(P<0.05).There was no significant difference in the incidence of complications between the two groups(P>0.05).Conclusions:Laparoscopic salpingotomy,embryo extraction and suture can improve the levels of ovarian reserve function in the patients with tubal pregnancy.It is superior to laparoscopic tubal fenestration,but it will prolong the operation time.
作者
程改
CHENG Gai(Department of Gynecology of Lankao County Maternal and Child Health Hospital,Kaifeng 475300 Henan,China)
出处
《中国民康医学》
2025年第23期159-161,共3页
Medical Journal of Chinese People’s Health
关键词
输卵管妊娠
腹腔镜
输卵管切开取胚缝合术
输卵管开窗术
输卵管通畅率
卵巢储备功能
并发症
Tubal pregnancy
Laparoscopy
Laparoscopic salpingotomy,embryo extraction and suture
Tubal fenestration
Tubal patency rate
Ovarian reserve function
Complication
