论文部分内容阅读
目的:探讨腹腔镜下不同术式治疗输卵管妊娠对再次妊娠的相关影响。方法:选取2010年6月至2012年5月我院收治的输卵管妊娠患者64例进行分析,按照不同术式分成观察组和对照组,每组32例,观察组采用腹腔镜下保守性手术(病侧输卵管切开取胚术),对照组采用腹腔镜下输卵管大部分切除术,观察两组术后输卵管通畅、再次宫内妊娠和异位妊娠发生率,并采用Logistic多因素回归分析影响保守性手术后再次妊娠率的影响因素。结果:观察组输卵管通畅、再次宫内妊娠率明显高于对照组(P<0.05),异位妊娠发生率明显低于对照组(P<0.05);Logistic多因素回归分析显示保守性手术后再次妊娠率与对侧输卵管不通畅、盆腔粘连有关(P<0.05)。结论:腹腔镜下保守性手术治疗输卵管妊娠再次宫内妊娠率明显优于腹腔镜下输卵管大部分切除术,对侧输卵管不通畅、盆腔粘连与保守术后再次妊娠有着密切关系,因而对于输卵管损坏严重和严重盆腔粘连患者不建议采用腹腔镜下保守术治疗。
Objective: To investigate the related effects of laparoscopic treatment of tubal pregnancy on pregnancy again. Methods: Sixty-four patients with tubal pregnancy admitted to our hospital from June 2010 to May 2012 were analyzed. According to different surgical procedures, the patients were divided into observation group and control group, 32 cases in each group. The observation group was treated by laparoscopic conservative surgery Sphincterotomy), the control group by laparoscopic tubal resection most of the tubal patency, postoperative tubal patency, intrauterine pregnancy and ectopic pregnancy rate again, and the use of Logistic regression analysis of the influence of conservative Influencing factors of pregnancy rate after sexual operation. Results: The tubal patency in the observation group was significantly higher than that in the control group (P <0.05), and the incidence of ectopic pregnancy was significantly lower than that in the control group (P <0.05). Logistic regression analysis showed that after conservative surgery Pregnancy rate and the contralateral tubal patency, pelvic adhesions (P <0.05). Conclusions: Laparoscopic surgery conservative treatment of tubal pregnancy again intrauterine pregnancy rate was significantly better than laparoscopic tubal resection most of the contralateral fallopian tube unobstructed, pelvic adhesions and conservative surgery after pregnancy is closely related to tubal damage Patients with severe and severe pelvic adhesions are not recommended for laparoscopic conservative treatment.