昆明医科大学学报2024，Vol.45Issue(12)：141-146,6.DOI:10.12259/j.issn.2095-610X.S20241220
单孔腹腔镜下保留输卵管系膜的输卵管切除术的临床应用及对卵巢储备功能和助孕结局的影响
Clinical Application of Single-port Laparoscopic Salpingectomy with Preserved Salpingum Mesothelium and its Influence on Ovarian Reserve Function and Assisted Pregnancy Outcome
摘要
Abstract
Objective To explore the clinical application of salpingectomy with preserving salpingum mesothelium under single-port laparoscopy and its influence on ovarian reserve function and assisted pregnancy outcome.Methods From January 2019 to January 2022,80 cases of salpingectomy in Shuangyashan Double Mine Hospital were selected and randomly divided into control group(n=40)and observation group(n=40).The control group was treated with multi-hole laparoscopic salpingectomy with salpingum mesothelium preserved,while the observation group treated with single-hole laparoscopic salpingectomy with salpingum mesothelium preserved.The operation conditions(operation time,intraoperative blood loss,exhaust time,etc.),anti-Mullerian hormone(AMH)before and one month after operation,ovarian function(basal sinus follicle count),postoperative complications,assisted pregnancy outcome and cosmetic effect were analyzed.Results The exhaust time and postoperative hospitalization time in the observation group were shorter than those in the control group,and the operation time was longer than that in the control group(P＜0.05).One month after operation,AMH in both groups decreased,and the number of sinus follicles in observation group A was lower than that in control group.The complication rate was lower than that of the control group(P＜0.05).After a one-year follow-up,there was no significant difference in ovulation rate and pregnancy rate between the two groups(P＞0.05).Follow-up for 3 months showed that the cosmetic effect of the observation group was better than that of the control group(95.00％vs 72.50％)(P＜0.05).Conclusion Single-port laparoscopic salpingectomy with salpingum mesothelium preservation is safe,cosmetic and minimally invasive,and has little adverse effect on ovarian reserve function,which is helpful for successful pregnancy assistance and worthy of clinical application and promotion.关键词
单孔腹腔镜/保留输卵管系膜的输卵管切除术/卵巢储备功能/助孕结局Key words
Single-port laparoscopy/Salpingectomy with preservation of salpingum mesothelium/Ovarian reserve function/Pregnancy-assisted outcome分类
医药卫生引用本文复制引用
曲丽茹,邱剑萍,张宁宁,程鑫鑫,杨建成,张小雁..单孔腹腔镜下保留输卵管系膜的输卵管切除术的临床应用及对卵巢储备功能和助孕结局的影响[J].昆明医科大学学报,2024,45(12):141-146,6.基金项目
黑龙江省教育厅科学技术研究基金资助项目(142517735) （142517735）
