腹腔镜下输卵管部分切除联合端端吻合术治疗再次输卵管妊娠的临床效果

Abstract
Figure/Table
References (15)
Related Citation (15)

Download: PDF (0 KB) HTML (37 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To study the efficacy and pregnancy outcome of laparoscopic partial fallopianectomy and endto-end anastomosis for recurrent tubal pregnancy. Methods A total of 60 patients with ampulla or isthmus pregnancy who were admitted to our hospital from January 2014 to December 2018 were selected as the research objects. They were divided into observation group and control group according to the principle of random grouping. The observation group was treated with laparoscopic partial salpingectomy and end-to-end anastomosis，and the control group was treated with laparoscopic tubal pregnancy removal (including fenestration and incision embryo suture). Surgical time，intraoperative blood loss，postoperative hospitalization time，postoperative decrease in human choionic gonadotophin(HCG)，incidence of persistent ectopic pregnancy，and incidence of tubal on the affected side Unobstructed condition(uterine fallopian tube angiography) and postoperative intrauterine pregnancy rate were compared between two groups.Results The operation time was (74.5±5.3) d in the observation group，longer than that in the control group for (53.5±4.7) d，and the difference was statistically significant (P＜0.05)； the intraoperative blood loss was (25.6±5.2) ml and postoperative hospital stay was (4.0±2.9) d in the observation group，compared with the control group for (30.1±4.8) ml，(4.0±3.7) d，the differences were not statistically significant (P＞0.05)； the blood HCG in patients in the observation group decreased 3 d and 2 weeks after surgery was (82.5±5.4)，(91.2±2.7) mIU/ml，which was higher than that in the control group for (65.5±4.8)，(98.4±1.6) mIU/ml，the differences were statistically significant (P＜0.05)； the incidence of persistent ectopic pregnancy in the observation group was (0.00%) lower than that of the control group (10.00%)，the difference was statistically significant (P＜0.05).The tubal patency of the observation group was better than that of the control group，and the rate of intrauterine pregnancy again was higher than that of the control group，the differences were statistically significant (P＜0.05). Conclusion Laparoscopic partial fallopian tube resection and end-to-end anastomosis for the treatment of recurrent tubal pregnancy can reduce the incidence of persistent ectopic pregnancy，improve the intrauterine pregnancy rate after surgery，thereby reducing the damage caused by assisted reproduction to the patient′s body and reducing the patient′s economy.

Key words： Laparoscopic Partial fallopian tube resection and end-to-end anastomosis Recurrent tubal pregnancy Persistent ectopic pregnancy Effect

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	JIANG Xiao-lan
	KANG Jia-li
	ZHANG Xiao-yan
	TANG Wei
	CHEN Yan-mei
	GONG Yan-mei

Cite this article:

JIANG Xiao-lan,KANG Jia-li,ZHANG Xiao-yan, et al. Clinical effect of Laparoscopic partial resection of the fallopian tube and end-to-end anastomosis for the treatment of recurrent tubal pregnancy[J]. 中国当代医药, 2020, 27(18): 110-113.

URL:

http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2020/V27/I18/110

［1］	乐杰.妇产科学［M］.6 版.北京：人民卫生出版社，2014：110
［2］	李晓云.腹腔镜下输卵管部分切除——端端吻合术治疗输卵管妊娠疗效观察［J］.中外医学研究，2014，12（28）：111-113.
［3］	Mol F，van Mello NM，Strandell A，et al.Cost-effectiveness of salpingotomy and salpingectomy in women with tubal pregnancy （a randomized controlled trial）［J］.Hum Reprod，2015，30（9）：2038-2047
［4］	刘晓珊，刘君，程娜.腹腔镜下输卵管部分切除-端端吻合术治疗输卵管妊娠疗效观察［J］.海南医学，2010，21（12）：105-106.
［5］	罗兴华，李蕾，黄燕宇.腹腔镜下输卵管切开取胚术治疗输卵管妊娠的效果分析［J］.泰山医学院学报，2018，39（12）：1337-1339.
［6］	谢晓光，颜小慧.腹腔镜下输卵管妊娠切除端端吻合术对妊娠的影响［J］.当代医学，2018，24（25）：26-28.
［7］	闫翠云，宋伟，魏涛.输卵管妊娠不同治疗方案对再次妊娠状况的影响［J］.中国药物与临床，2018，18（11）：1959-1960
［8］	邬朝晖.输卵管妊娠腹腔镜下输卵管开窗取胚术与输卵管开窗取胚术后放置支架再次妊娠结局比较［J］.牡丹江医学院学报，2016，37（6）：49-50.
［9］	陈文燕，罗远惠，卢常青，等.腹腔镜下输卵管妊娠保守手术治疗的临床疗效评价［J］.社区医学杂志，2017，15（9）：4-7.
［10］	陈君玉，伍亚玲，何金华.腹腔镜下两种保守手术治疗输卵管妊娠的临床疗效与妊娠结局评价［J］.中国计划生育和妇产科，2018，10（6）：71-74.
［11］	孙运明，施晓，杜玲.腹腔镜下输卵管妊娠保守性手术后持续性异位妊娠的因素分析［J］.中国妇幼保健，2011（26）：141-143.
［12］	黄洪萍，邬朝晖，邓笑容.腹腔镜下异位妊娠输卵管切除术与开窗取胚术对再次妊娠结局的影响对比研究［J］.吉林医学，2018，39（12）：2253-2254.
［13］	戚桂杰.腹腔镜下输卵管开窗术与输卵管切开缝合术治疗输卵管妊娠对照分析［J］.中国妇幼保健，2011 26（19）：3016-3018.
［14］	赵凤荣.异位妊娠腹腔镜下输卵管切开取胚术与腹腔镜下输卵管切除术对患者再次妊娠的影响［J］.实用妇科内分泌杂志（电子版），2017，4（34）：118-119.
［15］	钟彦培.妇产科手术后再次腹腔镜治疗异位妊娠的效果研究［J］.中外医疗，2017，36（13）：31-33.