CAJ | 학술논문

目的应用超声技术评价腹腔镜及开腹两种不同术式保守治疗输卵管妊娠后的疗效.方法选择本院2012年01月至2013年06月间手术治疗输卵管妊娠患者未破裂型134例.其中要求保留输卵管的患者115例,腹腔镜手术者62例(腹腔镜组),开腹保守手术53例(开腹组).对两组患者术后行常规超声检查及超声子宫输卵管造影检查,观察两组间输卵管通畅情况、输卵管全程显影时间及卵巢动脉的血流参数,并进行比较分析.结果患侧输卵管通畅率腹腔镜组明显高于开腹组(P,＜0.05),患侧输卵管通而不畅及不通率开腹组高于腹腔镜组(P＜0.05),患侧输卵管全程显影时间腹腔镜组明显短于开腹组(P＜0.05).腹腔镜组与开腹组患侧卵巢动脉血流参数差异无统计学意义(P＞0.05).结论腹腔镜保守手术对输卵管的损伤小,术后输卵管通畅程度好.
목적 응용초성기술평개복강경급개복량충불동술식보수치료수란관임신후적료효.방법 선택본원2012년01월지2013년06월간수술치료수란관임신환자미파렬형134례.기중요구보류수란관적환자115례,복강경수술자62례(복강경조),개복보수수술53례(개복조).대량조환자술후행상규초성검사급초성자궁수란관조영검사,관찰량조간수란관통창정황、수란관전정현영시간급란소동맥적혈류삼수,병진행비교분석.결과 환측수란관통창솔복강경조명현고우개복조(P,＜0.05),환측수란관통이불창급불통솔개복조고우복강경조(P＜0.05),환측수란관전정현영시간복강경조명현단우개복조(P＜0.05).복강경조여개복조환측란소동맥혈류삼수차이무통계학의의(P＞0.05).결론 복강경보수수술대수란관적손상소,술후수란관통창정도호.
Objective To compare the efficacy assessment of laparoscopy and laparotomy for the treatment of tubal pregnancy.Methods Between January 2012 and June 2013,134 patients without ovarian duct rapture admitted to the Affiliated Hospital of Hebei Union Medical University were recruited,of whom 115 required tube reservation were further allocated to laparotomy group (n=53) and laparoscopy group (n=62).This entailed ultrasonography and hysterosalpingography postoperatively for comparison on the degree of tubal obstruction,full development time and hemodynamic parameters of the ovary artery.Results Compared with those in laparotomy group,patients in the laparoscopic group had a significantly higher rate of full-patency and lower rate of poor patency or non-patency of the fallopian tube (all P＜0.05).The full developing time of ipsilateral fallopian tube in the laparoscopic group was significantly shorter than that in the laparotomy group (P＜0.05).However,there was no significant difference in ipsilateral ovarian artery hemodynamic parameters (P＞0.05).Conclusion Laparoscopy is minimally invasive and is characterized by a greater magnitude of opacification postoperatively.