Application of laparoscopic tubal core-pulling resection combined with uterine horn suture in treatment of tubal pregnancy

LI Hongfang; GANG Jinghua; ZHANG Lingyan

doi:10.7619/jcmp.201915016

Journal of Clinical Medicine in Practice > 2019 > 23(15): 60-63. > DOI: 10.7619/jcmp.201915016

LI Hongfang, GANG Jinghua, ZHANG Lingyan. Application of laparoscopic tubal core-pulling resection combined with uterine horn suture in treatment of tubal pregnancy[J]. Journal of Clinical Medicine in Practice, 2019, 23(15): 60-63. DOI: 10.7619/jcmp.201915016

Citation:

PDF (599 KB)

Application of laparoscopic tubal core-pulling resection combined with uterine horn suture in treatment of tubal pregnancy

1.
Department of Gynaecology and Obstetrics, Ethnic Hospital of Guangxi Zhuang Autonomous Region, Nanning, Guangxi, 530001
2.
Shao Yifu Hospital Affiliated to Medical College of Zhejiang University, Hangzhou, Zhejiang, 310000

More Information

Received Date: May 06, 2019
Revised Date: June 18, 2019
Available Online: February 23, 2021
Published Date: August 14, 2019

Graphical Abstract

Abstract

Abstract

Objective To investigate the effect of laparoscopic salpingectomy combined with uterine horn suture for patients with tubal pregnancy.
Methods A total of 100 patients with tubal pregnancy were randomly divided into 2 groups, the control group(n=50) underwent laparoscopic preservation of tubal pregnancy lesions, and 50 patients in the observation group underwent laparoscopic tubal core-pulling resection combined with uterine horn suture. Operation time, intraoperative blood loss, hospital stay, decrease situation of postoperative blood human chorionic gonadotropin (HCG), intrauterine pregnancy, ectopic pregnancy, ovarian function of two groups were compared.
Results There was no significant difference in operation time and hospital stay between the control group and the observation group (P>0.05), and the blood loss in the control group was significantly more than that in the observation group (P < 0.05). Compared with the control group, the blood HCG level in the observation group decreased more significantly (P < 0.05). At 1, 3 and 6 months after treatment, there were no significant differences in serum luteinizing hormone (LH), follicle-stimulating hormone (FSH), AMH and estradiol (E₂) levels between the two groups (P>0.05). After 18 months of follow-up, the incidence of ectopic pregnancy in the observation group was lower than that in the control group (4.00% vs. 12.00%), and there was no significant difference in intrauterine pregnancy rate between the two groups.
Conclusion Laparoscopic salpingectomy combined with cornual suture can effectively reduce the incidence of second ectopic pregnancy and has no effect on ovarian function.
- tubal core-pulling resection,
- uterine horn suture,
- tubal pregnancy,
- ovarian function,
- ectopic pregnancy

FullText(HTML)

References (19)

References

[1]	谢幸. 妇产科学[M]. 第8版. 北京: 人民卫生出版社, 2013: 123-125.
[2]	赵新玲, 范造锋, 白玉. 输卵管妊娠保守性手术后的生殖状态研究及影响因素分析[J]. 中国实用医刊, 2016, 43(15): 29-31. https://www.cnki.com.cn/Article/CJFDTOTAL-YLQY200804018.htm
[3]	米建锋, 梁桂玲. 输卵管妊娠保留输卵管手术后48 h内血清孕酮和β-hCG水平在疗效预测中的价值[J]. 中国妇幼保健, 2016, 31(6): 1320-1322. https://www.cnki.com.cn/Article/CJFDTOTAL-ZFYB201606083.htm
[4]	范蜀东, 黄学丹, 肖超. 输卵管切除与输卵管开窗取胚术输卵管妊娠的Meta分析[J]. 实用医院临床杂志, 2018, 15(6): 194-197. doi: 10.3969/j.issn.1672-6170.2018.06.061
[5]	Li H W, Liao S B, Chiu P C, et al. Effects of adrenomedullin on the expression of inflammatory cytokines and chemokines in oviducts from women with tubal ectopic pregnancy: an in-vitro experimental study[J]. Reprod Biol Endocrinol, 2015, 13: 120-120. doi: 10.1186/s12958-015-0117-x
[6]	Mol F, van Mello N M, Strandell A, et al. Salpingotomy versus salpingectomy in women with tubal pregnancy (ESEP study): an open-label, multicentre, randomised controlled trial[J]. Lancet, 2014, 383(9927): 1483-1489. doi: 10.1016/S0140-6736(14)60123-9
[7]	郑华, 张雁, 郭宏霞. 不同治疗方案对异位妊娠所保留输卵管形态及功能影响的研究[J]. 中国计划生育和妇产科, 2017, 9(1): 51-54. https://www.cnki.com.cn/Article/CJFDTOTAL-JHFC201701013.htm
[8]	Cheng X L, Tian X Y, Yan Z, et al. Comparison of the fertility outcome of salpingotomy and salpingectomy in women with tubal pregnancy: A systematic review and meta-analysis[J]. PLoS One, 2016, 11(3): e0152343.
[9]	Mol F, van Mello N M, Strandell A, et al. Cost-effectiveness of salpingotomy and salpingectomy in women with tubal pregnancy (a randomized controlled trial)[J]. Hum Reprod, 2015, 30(9): 2038-2047. doi: 10.1093/humrep/dev162
[10]	Danis R B, Della Badia C R, Richard S D. Postpartum permanent sterilization: could bilateral salpingectomy replace bilateral tubal ligation[J]. J Minim Invasive Gynecol, 2016, 23(6): 928-932. doi: 10.1016/j.jmig.2016.05.006
[11]	陈力, 李爱斌, 曹景云, 等. 双侧输卵管切除与双侧输卵管阻塞对体外受精-胚胎移植结局影响的系统评价[J]. 生殖医学杂志, 2014, 23(7): 545-551. doi: 10.3969/j.issn.1004-3845.2014.07.005
[12]	龚瑜, 周黎明, 蔡婕, 等. 脱氢表雄酮对卵巢储备功能下降患者卵巢反应性和IVF-ET结局的影响[J]. 生殖医学杂志, 2017, 26(7): 675-678. https://www.cnki.com.cn/Article/CJFDTOTAL-SZYX201707011.htm
[13]	Du X F, Ding T, Zhang H W, et al. Age-specific normal reference range for serum anti-müllerian hormone in healthy Chinese Han women: A nationwide population-based study[J]. Reprod Sci, 2016, 23(8): 1019-1027. doi: 10.1177/1933719115625843
[14]	Grynnerup A G A, Lindhard A, Sørensen S, et al. Serum anti-Müllerian hormone concentration before and after salpingectomy for ectopic pregnancy[J]. Reproductive Biomed Online, 2018, 37(5): 624-630. doi: 10.1016/j.rbmo.2018.08.013
[15]	金白灵, 牛志宏, 冯云. 输卵管切除术对卵巢反应性影响的荟萃分析[J]. 中国实用妇科与产科杂志, 2016, 32(8): 772-778. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGSF201608018.htm
[16]	赫英东, 杨慧霞. 警惕输卵管切除术后患者妊娠期间子宫破裂风险: 病例分析并文献综述[J]. 中国计划生育和妇产科, 2016, 8(10): 32-35. https://www.cnki.com.cn/Article/CJFDTOTAL-JHFC201610009.htm
[17]	周江妍, 王慈英, 汪利群, 等. 腹腔镜下抽芯法输卵管切除术治疗输卵管积水对卵巢功能影响的研究[J]. 中国医学创新, 2014, 11(6): 31-33. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYCX201406015.htm
[18]	陈益珊, 陈少虹, 赖文妹. 输卵管妊娠腹腔镜下保守性手术后持续性异位妊娠19例临床分析[J]. 海南医学, 2016, 27(4): 639-640. https://www.cnki.com.cn/Article/CJFDTOTAL-HAIN201604044.htm
[19]	陈亚楠, 艾海兵, 谷春会, 等. 不同术式治疗输卵管妊娠对卵巢储备功能影响的研究进展[J]. 吉林医学, 2017, 38(1): 172-174. https://www.cnki.com.cn/Article/CJFDTOTAL-JLYX201701070.htm

Cited By

Cited by

Periodical cited type(2)

1.	代莉亚，王晓英，梁利杰. 1M3S护理管理模式对原发性肝癌手术患者手术结局、术后肠道微生态分布及免疫功能的影响. 国际护理学杂志. 2023(15): 2808-2811 .
2.	曲畅. 基于品管圈活动的三维质控护理对重症急性胰腺炎血液滤过患者生活质量及并发症的影响. 吉林医学. 2023(12): 3540-3543 .

Other cited types(0)

Get Citation

PDF

XML

Article views (212) PDF downloads (4) Cited by(2)

Turn off MathJax

Article Contents

Abstract

References

Application of laparoscopic tubal core-pulling resection combined with uterine horn suture in treatment of tubal pregnancy

Abstract

References

Cited by

Periodical cited type(2)

Other cited types(0)

Catalog

Export File

Citation

Format

Content