CAJ | 학술논문

目的：比较分析药物治疗、保留输卵管的腹式及腹腔镜手术治疗输卵管妊娠后输卵管的管腔形态恢复及再通情况。方法选择有生育要求的输卵管妊娠患者72例，其中采用药物治疗20例（ A组），腹式手术治疗18例（B组），腹腔镜手术治疗34例（C组）；均在保留输卵管治疗成功后3～6个月返院，行一日腹腔镜检查术，观察输卵管的管腔形态恢复及通畅情况。结果输卵管管腔形态恢复情况：A组瘘口形成1例、梗阻结节8例、积水扩张2例、粘连形成3例，B组分别为5、2、5、8例，C组分别为8、3、7、4例；A组梗阻结节发生率高于B、C组，B组粘连形成率高于A、C组，C组粘连形成率高于A组，P均＜0．05。 A、B、C组输卵管通畅分别为12、15、8例，3组比较，P均＞0．05。结论3种方法治疗对输卵管妊娠患者的管腔再通率无明显差异，但输卵管形态恢复存在一定差异。
목적：비교분석약물치료、보류수란관적복식급복강경수술치료수란관임신후수란관적관강형태회복급재통정황。방법선택유생육요구적수란관임신환자72례，기중채용약물치료20례（ A조），복식수술치료18례（B조），복강경수술치료34례（C조）；균재보류수란관치료성공후3～6개월반원，행일일복강경검사술，관찰수란관적관강형태회복급통창정황。결과수란관관강형태회복정황：A조루구형성1례、경조결절8례、적수확장2례、점련형성3례，B조분별위5、2、5、8례，C조분별위8、3、7、4례；A조경조결절발생솔고우B、C조，B조점련형성솔고우A、C조，C조점련형성솔고우A조，P균＜0．05。 A、B、C조수란관통창분별위12、15、8례，3조비교，P균＞0．05。결론3충방법치료대수란관임신환자적관강재통솔무명현차이，단수란관형태회복존재일정차이。
Objective To comparatively analyze the morphological recovery and recanalization of fallopian tubes in patients after tubal pregnancy treated by drug treatment , retaining the abdominal and laparoscopic operation .Methods Seventy-two cases of patients with tubal pregnancy who had fertility requirements were selected , during whom 20 cases were treated by drug therapy (group A), 18 cases by abdominal operation (group B), and 34 cases by laparoscopic operation ( group C) .The patients returned to hospital after successful retaining oviduct treatment 3-6 months and underwent a day of laparoscopy to observe the morphological recovery and patency of fallopian tubes .Results The morphological recovery of the oviduct:group A had 1 case of fistula formation , 8 cases of obstruction nodules , 2 cases of hydrocephalus dilatation and 3 cases of adhesion formation;they were 5, 2, 5 and 8 cases in group B;and 8, 3, 7, 4 cases in group C.The incidence of obstruction nodule in group A was higher than that of groups B and C , the adhesion formation rate of group B was higher than that of groups A and C , that in group C was higher than that in group A , all P<0.05.There were 12, 15 and 8 cases with tubal patency in groups A , B and C, all P>0.05.Conclusion The recanalization rate has no significant difference in tubal pregnancy patients treated by 3 different methods , but there are some differences between tubal shape recovery .