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| Clinical effect of tubal fenestration on medium and long-term recurrence of ectopic pregnancy |
| HU Shuling YIN Zhangli |
| Department of Gynaecology and Obstetrics, Nanchang Renai Maternity Hospital, Jiangxi Province, Nanchang 330025,China |
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Abstract Objective To explore the clinical effect of tubal fenestration on medium and long-term recurrence of ectopic pregnancy.Methods A total of 60 patients with ectopic pregnancy admitted to Nanchang Renai Maternity Hospital from January to December 2019 were selected as the research objects.And divided into the experimental group (n=30) and the control group (n=30) according to the random number table method.The experimental group used fallopian tubes by fenestration for embryos and the control group.The perioperative indicators [operation time, intraoperative blood loss, hospital stay], ovarian hemodynamics (peak systolic velocity [PSV], resistance index [RI], pulsatility index[PI]), and medium-term and long-term follow-up status were compared between the two groups.Results The operation time and hospitalization time in the experimental group were shorter than that in the control group, and the intraoperative bleeding in the experimental group was more than that in the control group, the differences were statistically significant (P<0.05).Before surgery, the PSV, RI, and PI were compared between the two groups, the differences were not significantly significant (P>0.05).After surgery, the PSV in the two groups was higher than that before surgery in the group, and the PSV in the experimental group was higher than that in the control group at the same period, the differences were statistically significant (P<0.05).After surgery, the RI and PI in the two groups were lower than that before surgery in the group, and the RI and PI in the experimental group were lower than those in the control group at the same period, the differences were statistically significant (P<0.05).The postoperative pregnancy rates at 3, 6 months and 1 year was compared between the two groups, the difference was not significantly significant (P>0.05).The intrauterine pregnancy rate at 1 year in the experimental group was higher than that in the control group, the difference was not significantly significant (P<0.05).Conclusion Tubal fenestration for the treatment of ectopic pregnancy patients can improve the intrauterine pregnancy rate, which has little impact on medium and long-term palindromia, which deserves clinical attention.
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