摘要
目的:研究子宫输卵管造影在输卵管妊娠切开取胚术后再次妊娠中的临床价值。方法:回顾性分析广西柳州市妇幼保健院2014年2月至2016年10月205例行输卵管妊娠腹腔镜切开取胚术的有生育要求患者的临床资料,根据术后是否行子宫输卵管造影(HSG)分为两组,观察组95例患者术后1~2个月行HSG,对照组110例患者术后未行HSG。随访两年,统计宫内妊娠、再次异位妊娠(EP)、继发性不孕的发生率。结果:宫内妊娠率:观察组69.5%,对照组50.9%,两组比较差异有统计学意义(P<0.05);再次EP率:观察组15.8%,对照组21.8%,两组比较差异无统计学意义(P>0.05);不孕率:观察组14.7%,对照组27.3%,两组比较差异有统计学意义(P<0.05)。结论:输卵管妊娠腹腔镜切开取胚术后行HSG可以了解输卵管的通畅性,指导患者后续治疗及试孕,提高宫内妊娠率,减少不孕症的发生。
Objective:To study the clinical value of hysteron-salpingography(HSG)in re-pregnancy after tubal pregnancy incision and embryo extraction.Methods:The clinical data of 205 patients with fertility requirements who underwent laparoscopic incision of tubal pregnancy and embryo extraction in Liuzhou Maternity and Child Healthcare Hospital from Feb.2014 to Oct.2016 were retrospectively analyzed.According to whether HSG was performed after operation,the patients were divided into two groups.95 patients in the observation group were treated with HSGafter 1 to 2 months of operation.110patients in the control group were not given HSG after operation.Patients were follow-up for 2 years,the incidence of intrauterine pregnancy,secondary ectopic pregnancy(EP),and secondary infertility were calculated.Results:The intrauterine pregnancy rate was 69.5%in the observation group and 50.9%in the control group,and there was significant difference between the two groups(P<0.05).The secondary EP rate was 15.8%in the observation group and 21.8%in the control group,and there was no significant difference between the two groups(P>0.05).Infertility rate was 14.7%in the observation group and 27.3%in the control group,the difference was statistically significant(P<0.05).Conclusion:HSG after laparoscopic incision of tubal pregnancy and embryo extraction can fully know the patency of fallopian tube,guide patients’follow-up treatment and trial pregnancy,improve the intrauterine pregnancy rate and reduce the occurrence of infertility.
作者
樊慧流
范江涛
韦红兰
陈红燕
Fan Huiliu;Fan Jiangtao;Wei Honglan;Chen Hongyan(Liuzhou Maternity and Child Healthcare Hospital,Liuzhou,Affiliated Obstetrics and Gynecology Hospital,Children's Hospital of Guangxi University of Science and Technology,Liuzhou 545001,China;TheFirst Affiliated Hospital of Guangxi Medical University,Nanning 530021,China)
出处
《广西医科大学学报》
CAS
2020年第9期1681-1685,共5页
Journal of Guangxi Medical University
基金
广西科技计划资助项目(No.桂科AB17195003)
广西壮族自治区卫生健康委员会自筹经费科研课题资助项目(No.Z2016282)。
作者简介
通信作者:范江涛,E-mail:JT_fan2018@163.com。
