高雅 常丰华 王智霆 王媛媛 李颖颖 封全灵

    【摘要】 目的：統计并分析行腹腔镜下不同术式的输卵管积水患者术后接受辅助生殖的妊娠结局和远期卵巢储备功能。方法：回顾性分析2019年3月-2021年9月于郑州大学第三附属医院就诊的因输卵管积水所致不孕的患者103例，根据其手术术式分为两组，A组(n=64)采用双侧输卵管近端结扎+远端造口术，B组(n=39)采用双侧输卵管切除。术后随访12个月，比较两组手术指标、术后发热率、并发症情况、妊娠结局和远期卵巢储备功能。结果：两组手术时间、胃肠功能恢复时间、住院天数比较，差异均无统计学意义(P>0.05)；A组术中出血量和输卵管评分均低于B组，差异均有统计学意义(P0.05)。随访期间A组妊娠35例，B组妊娠20例。两组妊娠率、流产率、异位妊娠率比较，差异均无统计学意义(P>0.05)。两组术前及术后6个月月经量、卵泡刺激素(FSH)、黄体生成素(LH)、雌二醇(E2)、内膜厚度比较，差异均无统计学意义(P>0.05)；术后6个月，A组的FSH水平低于B组，B组内膜厚度低于A组(P0.05). The intraoperative blood loss and tubal score in group A were lower than those in group B， the differences were statistically significant (P0.05). During the follow-up period， there were 35 pregnancies in group A and 20 pregnancies in group B.?There were no significant differences in pregnancy rate， abortion rate and ectopic pregnancy rate between the two groups (P>0.05). There were no significant differences in menstrual volume ......