Effect of laparoscopic salpingotomy with suturing on prognosis of patients
10.3760/cma.j.issn.1008-6315.2019.03.011
- VernacularTitle:腹腔镜下输卵管开窗取胚后创面缝合术对患者预后的影响
- Author:
Beibei XIE
1
;
Yuan ZHANG
;
Hongjie LI
;
Yuanhua CAO
;
Jinhong ZHANG
Author Information
1. 冀中能源峰峰集团有限公司总医院妇产科
- Keywords:
Tubal pregnancy;
Laparoscopy;
Salpingotomy with suturing;
Intrauterine gestation;
Recurrent ectopic pregnancy
- From:
Clinical Medicine of China
2019;35(3):242-245
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effect of laparoscopic salpingotomy with suturing on prognosis of patients.Methods One hundred and thirty two cases patients of laparoscopic salpingotomy and embryo extraction in our hospital from October 2015 to Febrary 2017 were were divided into observation group (68 cases) with suturing and control group (64 cases) without suturing according to the operation procedure.The patency of fallopian tube was observed at 3 months after operation and the intrauterine gestation rate and recurrent ectopic pregnancy rate were observed 1 years after operation in two groups.Results The fallopian tube patency in the observation group and the control group was 58 cases (85.3％) and 39 cases (60.9％) respectively at 3 months after operation.7 cases (10.3％) and 12 cases(18.8％) of the fallopian tube were not smooth in the observation group and the control group respectively at 3 months after operation.The fallopian tube obstruction in the observation group and the control group was 3 cases (4.4％) and 13 cases (20.3％) respectively at 3 months after operation.The patency rate of fallopian tube in the observation group was higher than that in the control group (Z =6.215,P ＜ 0.05).The intrauterine gestation rate (69.1％ (47/68)) in the observation group was significantly higher than that in the control group (37.5％(24/64)) 1 years after operation and the difference between the two groups was statistically significant (x2 =5.41,P ＜0.05).The rate of recurrent ectopic pregnancy in the observation group (10.3％(7/68)) was significantly lower than that in the control group (26.6％(17/64)) and the difference between the two groups was statistically significant (x2 =4.826,P ＜ 0.05).Conclusion The laparoscopic salpingotomy with suturing can improve the patency rate of the fallopian tube and the rate of intrauterine gestation and reduce the rate of recurrent ectopic pregnancy in the patients after the operation.
