摘要
目的:分析经阴道宫腔镜手术与腹腔镜手术治疗输卵管妊娠的手术结局及对患者炎症应激反应的影响。方法:选取86例接受手术治疗的输卵管妊娠患者,按照随机数表法将其分为宫腔镜组及腹腔镜组,每组43例。比较两组的手术结局、围术期炎症水平及应激水平差异。结果:宫腔镜组与腹腔镜组相比,手术成功率及患侧输卵管通畅率差异均无统计学意义(x^2=0.241,x^2=0.193;P>0.05);术后宫内妊娠率宫腔镜组高于腹腔镜组、再次异位妊娠率低于腹腔镜组患者,差异有统计学意义(x^2=7.294,x^2=8.283;P<0.05);宫腔镜组的术后肾上腺素(E)、皮质醇(Cor)、白介素-6(IL-6)、白介素-8(IL-8)、白介素-2(IL-2)以及C反应蛋白(CRP)水平低于腹腔镜组,差异有统计学意义(t=6.842,t=6.283,t=8.536,t=6.106,t=6.283,t=6.376;P<0.05);宫腔镜组的术后促甲状腺激素(TSH)水平高于腹腔镜组,差异有统计学意义(t=6.823,P<0.05)。结论:经阴道宫腔镜手术与腹腔镜手术均可用于输卵管妊娠治疗,宫腔镜手术在提高患者再次宫内妊娠率,减轻术后全身应激及炎症水平,促进患者术后恢复方面具有优势。
Objective： To analyze influence of vaginal hysteroscopy and laparoscopic surgery on tubal pregnancy patients＇ surgical outcome and inflammatory stress response. Methods： Chosen 86 cases of tubal pregnancy patients between July 2012 to July 2013 in our hospital undergoing surgery as study object, according to a random number table divided into hysteroscopy group（43 cases） and laparoscopic group（43 cases）, compared surgical outcomes, perioperative differences in the level of inflammation and stress level. Results： No significant difference between hysteroscopy group and laparoscopic group on surgical success rate and ipsilateral tubal patency statistically（x^2=0.241, x^2=0.193; P0.05）, postoperative intrauterine pregnancy rate was higher than laparoscopic group, again ectopic pregnancy rate was less than laparoscopic patients（x^2=7.294, x^2=8.283; P0.05）; hysteroscopic surgery group E, Cor, IL-2, IL-6, IL-8, CRP levels were lower than laparoscopic group（t=6.842, t=6.283, t=8.536, t=6.106, t=6.283, t=6.376; P0.05）,TSH levels was higher than laparoscopic group（t=6.823, P0.05）. Conclusion： Vaginal hysteroscopy and laparoscopy can be used for the treatment of tubal pregnancy, hysteroscopy has an advantage in improving patient again intrauterine pregnancy, reduce postoperative systemic stress and inflammation levels, and promote the recovery of patients after surgery respect.
出处
《中国医学装备》
2016年第4期85-88,共4页
China Medical Equipment
关键词
输卵管妊娠
经阴道宫腔镜
腹腔镜
炎性应激反应
Tubal pregnancy
Vaginal hysteroscopy
LaparoscoPic
Inflammatory stress response -
