腹腔镜下输卵管切开取胚术与腹腔镜下输卵管切除的对比

发布时间：2018-02-12 06:59

本文关键词： 腹腔镜输卵管切开取胚术输卵管切除异位妊娠　出处：《实用妇科内分泌杂志(电子版)》2016年17期 　论文类型：期刊论文

【摘要】：目的比较腹腔镜下输卵管切开取胚术和腹腔镜下输卵管切除术的效果。方法选择我院2015年1月~2016年7月收治的输卵管异位妊娠患者160例作为研究对象,根据治疗方案不同,将其分为研究组120例与对照组40例。其中研究组采取腹腔镜下输卵管切开取胚术治疗,对照组采取腹腔镜下输卵管切除术治疗。观察记录两组患者手术时间、术中出血量、住院时间、并发症发生率,以及持续异位妊娠(PEP)率、重复异位妊娠(REP)率及术后自然宫内妊娠(IUP)率,并采取统计学分析。结果两组患者手术时间、术中出血量、住院时间、并发症发生率、PEP率、REP率比较,差异无统计学意义(P0.05);但研究组IUP率明显高于对照组(P0.05)。结论腹腔镜下输卵管切开取胚术治疗与输卵管切除术治疗输卵管异位妊娠,尽管在手术时间、失血量、住院时间、PEP、REP及并发症方面比较无明显差异,但可明显提高IUP率,值得推广。
[Abstract]:Objective to compare the effects of laparoscopic oviductal oviduct extraction and laparoscopic salpingotomy. Methods 160 cases of ectopic tubal pregnancy were selected from January 2015 to July 2016 in our hospital. It was divided into study group (120 cases) and control group (40 cases). The study group was treated by laparoscopic oviductal incision and the control group by laparoscopic salpingotomy. The duration of hospitalization, the incidence of complications, the rate of persistent ectopic pregnancy (PEP), the rate of repeated ectopic pregnancy (REP) and the rate of spontaneous intrauterine pregnancy (IUP) after operation were analyzed statistically. There was no significant difference in the incidence of complications (P < 0.05), but the IUP rate in the study group was significantly higher than that in the control group (P 0.05). Conclusion Laparoscopic salpingotomy and salpingotomy are used to treat ectopic tubal pregnancy. There was no significant difference in the amount of blood loss, the length of stay in hospital and the complications, but the rate of IUP could be significantly increased, which was worth popularizing.
【作者单位】：射阳县人民医院妇产科;
【分类号】：R713.8

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