超声对腹腔镜及开腹两种术式保守治疗输卵管妊娠的疗效评价

目的 应用超声技术评价腹腔镜及开腹两种不同术式保守治疗输卵管妊娠后的疗效.方法 选择本院2012年01月至2013年06月间手术治疗输卵管妊娠患者未破裂型134例.其中要求保留输卵管的患者115例,腹腔镜手术者62例（腹腔镜组）,开腹保守手术53例（开腹组）.对两组患者术后行常规超声检查及超声子宫输卵管造影检查,观察两组间输卵管通畅情况、输卵管全程显影时间及卵巢动脉的血流参数,并进行比较分析.结果 患侧输卵管通畅率腹腔镜组明显高于开腹组（P＜0.05）,患侧输卵管通而不畅及不通率开腹组高于腹腔镜组（P＜0.05）,患侧输卵管全程显影时间腹腔镜组明显短于开腹组（P＜0.05）.腹腔镜组与开腹组患侧卵巢动脉血流参数差异无统计学意义（P＞0.05）.结论 腹腔镜保守手术对输卵管的损伤小,术后输卵管通畅程度好.

Efficacy evaluation of ultrasonography in laparoscopy and laparotomy surgery for tubal pregnancy

Objective To compare the efficacy assessment of laparoscopy and laparotomy for the treatment of tubal pregnancy.Methods Between January 2012 and June 2013,134 patients without ovarian duct rapture admitted to the Affiliated Hospital of Hebei Union Medical University were recruited,of whom 115 required tube reservation were further allocated to laparotomy group （n=53） and laparoscopy group （n=62）.This entailed ultrasonography and hysterosalpingography postoperatively for comparison on the degree of tubal obstruction,full development time and hemodynamic parameters of the ovary artery.Results Compared with those in laparotomy group,patients in the laparoscopic group had a significantly higher rate of full-patency and lower rate of poor patency or non-patency of the fallopian tube （all P〈0.05）.The full developing time of ipsilateral fallopian tube in the laparoscopic group was significantly shorter than that in the laparotomy group （P〈0.05）.However,there was no significant difference in ipsilateral ovarian artery hemodynamic parameters （P〉0.05）.Conclusion Laparoscopy is minimally invasive and is characterized by a greater magnitude of opacification postoperatively.