摘要
目的分析腹腔镜下抽芯法患侧输卵管切除术联合宫角缝扎对异位妊娠患者卵巢功能和血清抑制素-A(inhibin-A)的影响。方法选择2021年2月—2023年3月本院收治的82例异位妊娠患者作为研究对象,按照随机数表法分为研究组与对照组两组,每组各41例。对照组采用腹腔镜下保留输卵管妊娠病灶清除术治疗,研究组则采用腹腔镜下抽芯法患侧输卵管切除术联合宫角缝扎治疗,对比两组临床疗效。结果研究组卵巢动脉舒张末期血流速度(EDV)、人绒膜促性腺激素(HCG)、促卵泡激素(FSH)、黄体生成素(LH)与inhibin-A水平高于对照组,且卵巢动脉血流阻力指数(RI)与收缩期峰值血流速度(PSV)、术后并发症发生率和异位妊娠复发率低于对照组,术中出血量少于对照组,住院时间和手术时间均短于对照组(P<0.05)。结论腹腔镜下抽芯法患侧输卵管切除术联合宫角缝扎在异位妊娠中的临床治疗效果较好,能够促进患者卵巢功能恢复,纠正内分泌激素水平紊乱,进而改善预后,治疗安全性和实用性较高。
Objective To analyze the effect of laparoscopic core pulling tubectomy on affected side and cornual ligation on ovarian function and serum inhibin-A in patients with ectopic pregnancy.Methods 82 patients with ectopic pregnancy who were admitted to our hospital from February 2021 to March 2023 were selected as study subjects,and they were divided into the study group and the control group according to the random number table method.The control group(41 cases)was treated with laparoscopic tubal sparing pregnancy focus removal,and the study group(41 cases)was treated with laparoscopic core pulling salpingectomy on affected side combined with cornual ligation.The clinical effects of the two groups were compared.Results The end diastolic flow velocity(EDV)of the ovarian artery,human chorionic gonadotropin(HCG),follicle-stimulating hormone(FSH),luteinizing hormone(LH)and inhibin-A levels in the study group were higher than those in the control group.The ovarian artery flow resistance index(RI)and peak systolic flow velocity(PSV),the incidence of postoperative complications and the recurrence rate of ectopic pregnancy were lower than those in the control group;and the amount of intraoperative bleeding was less than that in the control group;the hospital stay and surgical time were shorter than those in the control group(P<0.05).Conclusions Laparoscopic core pulling salpingectomy on the affected side combined with cornual ligation in treating ectopic pregnancy has a good clinical therapeutic effect,which can promote the recovery of patients'ovarian function,correct the disorder of endocrine hormone levels,and then improve the prognosis.The treatment is safe and practical.
作者
许艇
杨宝娟
Xu Ting;Yang Baojuan(Obstetrics Department,the Second Affiliated Hospital of Zhengzhou University,Zhengzhou,Henan 450000,China;Gynecology Department,the Second Affiliated Hospital of Zhengzhou University,Zhengzhou,Henan 450000,China)
出处
《齐齐哈尔医学院学报》
2024年第1期53-57,共5页
Journal of Qiqihar Medical University
关键词
腹腔镜下抽芯法患侧输卵管切除术
宫角缝扎
异位妊娠
卵巢功能
血清抑制素-A
Laparoscopic core pulling salpingectomy on the affected side
Suture of uterine horn
Ectopic pregnancy
Ovarian function
Serum inhibin-A
