CAJ | 학술논문

　　目的通过观察患者术后输卵管通畅程度、宫内妊娠率和异位妊娠率的变化，评价使用腹腔镜下输卵管吻合术治疗输卵管妊娠的的疗效。方法入选120例患者随机分成研究组和对照组两组，研究组60例使用腹腔镜下输卵管吻合术治疗，对照组60例使用腹腔镜下输卵管切开取胚缝合术治疗，围手术期对患者加强护理干预。两组治疗后2个月比较患者输卵管通畅程度，2年后比较宫内妊娠率和异位妊娠率的变化。结果两组患者在手术治疗后，2个月后研究组输卵管通畅程度较对照组高，结果有统计学意义（P＜0.05）；2年后研究组宫内妊娠率高于对照组，结果有统计学意义（P＜0.05）；异位妊娠率低于对照组，但结果无统计学意义（P＞0.05）。结论腹腔镜下输卵管吻合术治疗输卵管妊娠可以有效提高术后输卵管通畅度，提高宫内妊娠率及降低再次异位妊娠率，疗效优于腹腔镜下输卵管切开缝合术治疗。其间围手术期加强患者的护理是保证手术成功及提高术后输卵管功能恢复的必要条件。
　　목적통과관찰환자술후수란관통창정도、궁내임신솔화이위임신솔적변화，평개사용복강경하수란관문합술치료수란관임신적적료효。방법입선120례환자수궤분성연구조화대조조량조，연구조60례사용복강경하수란관문합술치료，대조조60례사용복강경하수란관절개취배봉합술치료，위수술기대환자가강호리간예。량조치료후2개월비교환자수란관통창정도，2년후비교궁내임신솔화이위임신솔적변화。결과량조환자재수술치료후，2개월후연구조수란관통창정도교대조조고，결과유통계학의의（P＜0.05）；2년후연구조궁내임신솔고우대조조，결과유통계학의의（P＜0.05）；이위임신솔저우대조조，단결과무통계학의의（P＞0.05）。결론복강경하수란관문합술치료수란관임신가이유효제고술후수란관통창도，제고궁내임신솔급강저재차이위임신솔，료효우우복강경하수란관절개봉합술치료。기간위수술기가강환자적호리시보증수술성공급제고술후수란관공능회복적필요조건。
Objective To evaluate the curative effect of laparoscopic tubal anastomosis in the treatment of tubal pregnancy through observing the degree of tubal patency and change of intrauterine pregnancy rate and ectopic pregnancy rate of patients after the operation. Methods 120 patients were randomly divided into the research group treated by laparoscopic tubal anastomosis and the control group treated by laparoscopic salpingotomy,and each group were 60 cases. The patient's nursing intervention during the peri-operation were strengthened. The degree of tubal patency of patients in two groups after 2 months of the treatment and change of intrauterine pregnancy rate and ectopic pregnancy rate after 2 years were compared. Results The degree of tubal patency of patients in the research group after 2 months of the operation treatment was higher than that in the control group,and the difference was significant (P<0.05).The intrauterine pregnancy rate of patients in the research group after 2 years was higher than that in the control group,and the difference was significant(P<0.05).The ectopic pregnancy rate of patients in the research group after 2 years was lower than that in the control group,but the difference was not significant(P > 0.05). Conclusion Laparoscopic tubal anastomosis in the treatment of tubal pregnancy can effectively improve the degree of tubal patency and intrauterine pregnancy rate after the operation, low the ectopic pregnancy rate, and the curative effect of laparoscopic tubal anastomosis is better than that of laparoscopic salpingotomy. Strengthening nursing during the peri-operation is necessary conditions to guarantee the operation success and increase the tubal function recovery after operation.