输卵管妊娠腹腔镜下输卵管切除术与输卵管切开取胚术应用比较

发布时间：2018-03-05 10:31

本文选题：腹腔镜　切入点：输卵管妊娠　出处：《中国介入影像与治疗学》2016年05期 　论文类型：期刊论文

【摘要】：目的比较腹腔镜下输卵管切除术和输卵管切开取胚术治疗输卵管妊娠术后患者不同的生育结局。方法回顾性分析腹腔镜下双侧输卵管无明显粘连的55例接受输卵管切开取胚术和50例接受输卵管切除术的输卵管妊娠患者,比较两种术式患者术后再次获得宫内妊娠、术后持续性异位妊娠、重复异位妊娠的差异。结果腹腔镜下输卵管切开取胚术后组患者宫内妊娠(38/55,69.09%)发生率明显高于输卵管切除术组(25/50,50.00%),差异有统计学意义(P0.05),两组患者术后持续性异位妊娠和重复异位妊娠的发生率差异无统计学意义(P均0.05)。结论对于双侧输卵管外观无病变、且有生育要求的输卵管妊娠患者,应选择行腹腔镜下输卵管切开取胚术,对于患者术后生育力更为有利。
[Abstract]:Objective to compare the different reproductive outcomes between laparoscopic salpingotomy and salpingotomy in the treatment of tubal pregnancy. Methods 55 cases of oviduct receiving oviduct transfusion were retrospectively analyzed. Tube incision and embryo extraction and 50 cases of tubal pregnancy undergoing salpingotomy, The two methods of operation were compared to obtain intrauterine pregnancy again, postoperative persistent ectopic pregnancy, Results the incidence of intrauterine pregnancy was significantly higher in the laparoscopic oviduct incision group than in the salpingotomy group (P 0.05). The incidence of intrauterine pregnancy was significantly higher than that in the salpingotomy group (P 0.05). There was no significant difference in the incidence of double ectopic pregnancy (P < 0.05). Conclusion there is no pathological changes in the appearance of bilateral fallopian tubes. In the case of tubal pregnancy with fertility requirement, laparoscopic oviductal incision and embryo extraction should be performed, which is more beneficial to the patient's fertility after operation.
【作者单位】：首都医科大学附属北京妇产医院妇科;
【分类号】：R445.1;R713.8

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