摘要
目的 探讨宫外孕治疗后采取四维子宫输卵管超声造影对宫内再孕率的影响。方法 选取72例宫外孕患者,按照随机数字表法原则将其分成观察组与对照组,每组36例。对照组应用腹腔镜手术方式,患者术后进行抗生素用药干预,观察组在对照组基础上于术后应用四维子宫输卵管超声造影检查。两组患者均随访6个月,统计两组宫内再孕率情况以及不良事件(宫外孕复发、输卵管积液、宫腔粘连)发生情况。结果 观察组宫内再孕率为72.22%,对照组再孕率为44.44%,观察组高于对照组,差异有统计学意义(P<0.05);观察组患者的宫外孕复发率、输卵管积液率、宫腔粘连率分别为5.56%、8.33%、5.56%,对照组分别为25.00%、27.78%、22.22%,观察组各发生率均低于对照组,差异有统计学意义(P<0.05)。结论 宫外孕患者经治疗后应用四维子宫输卵管超声造影,可指导临床医师的合理处理,提高患者宫内再孕率,降低患者不良事件发生率。
Objective To investigate the effect of four-dimensional hysterosalpingography after treatment of ectopic pregnancy on the rate of intrauterine pregnancy.Methods 72 patients with ectopic pregnancy were selected and divided into observation group and control group according to the principle of random number table,with 36 cases in each group.The control group received laparoscopic surgery,and the patients received postoperative antibiotic intervention.The observation group was treated with four-dimensional hysterosalpingography contrast-enhanced ultrasound on the basis of the control group.Patients in both groups were followed up for 6 months,and the intrauterine re-pregnancy rate and adverse events(recurrence of ectopic pregnancy,hydrosalpinx,intrauterine adhesions) were counted in both groups.Results The intrauterine repregnancy rate was 72.22% in the observation group and 44.44% in the control group,and the difference was statistically significant(P<0.05).The recurrence rate of ectopic pregnancy,the rate of hydrosalpinx and the rate of uterine adhesion in the observation group were 5.56%,8.33% and 5.56%,respectively,and those in the control group were 25.00%,27.78% and 22.22%,respectively,and the incidence rates in the observation group were lower than those in the control group,with statistical significance(P<0.05).Conclusion The application of four-dimensional hysterosalpingography after treatment in patients with ectopic pregnancy can guide clinical physicians in reasonable management,improve the rate of intrauterine pregnancy,and reduce the incidence of adverse events in patients.
作者
邓明珠
李晓菲
董巨浪
黄晓虹
Deng Mingzhu;Li Xiaofei;Dong Julang;Huang Xiaohong(Department of Obstetrics and Gynecology,Foshan Second People's Hospital,Foshan 528000,China;Guangzhou Women and Children Medical Center,Guangzhou 520000,China)
出处
《实用妇科内分泌电子杂志》
2023年第27期99-102,共4页
Electronic Journal of Practical Gynecological Endocrinology
基金
佛山市卫生健康局医学科研课题立项(编号20220068)。
关键词
宫外孕
四维子宫输卵管超声造影
宫内再孕率
Ectopic pregnancy
Four dimensional hysterosalpingography
Intrauterine pregnancy rate
