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目的调查和分析输卵管妊娠患者手术治疗后月经恢复时间及其可能影响因素,为输卵管妊娠术后月经异常的临床干预时间提供依据。方法对45例手术治疗的输卵管妊娠患者术后月经恢复时间进行回访调查,并分析术后月经恢复时间与不同手术方式(输卵管切除术27例,输卵管开窗取胚术18例)、患者年龄、术前血液中人绒毛膜促性腺激素(human chorionic gonadotropin,hCG)及孕酮的关系。结果 1输卵管妊娠患者术后月经恢复时间为34.23±4.833d,其99%参考值范围为21.82~46.64d。2输卵管切除术组与输卵管开窗取胚术组术后月经恢复时间相比较,差异无统计学意义(P=0.492)。3输卵管妊娠术后月经恢复时间与患者年龄、术前血hCG及孕酮均无线性相关关系(r=0.104、r=-0.337、r=-0.062,P=0.735、P=0.261、P=0.884)。结论输卵管妊娠患者术后月经恢复时间小于22d或超过47d未恢复,应进行必要的医学检查或干预措施。
Objective To investigate and analyze the menstruation recovery time and its possible influencing factors after operation in patients with tubal pregnancy to provide basis for the clinical intervention time of menstrual abnormalities after tubal pregnancy. Methods 45 cases of surgical treatment of tubal pregnancy patients after menstruation recovery time were investigated retrospectively, and postoperative menstrual recovery time and different surgical methods (27 cases of tubal resection, tubal embryo retrieval of 18 cases), the patient’s age, Preoperative blood of human chorionic gonadotropin (human chorionic gonadotropin (hCG) and progesterone relationship. Results 1 The tubal pregnancy patients postoperative recovery time was 34.23 ± 4.833d, 99% of the reference range of 21.82 ~ 46.64d. 2 tubal resection group and tubal embryo operation group postoperative menstruation recovery time compared, the difference was not statistically significant (P = 0.492). There was no linear correlation between the recovery time of tubal pregnancy and the patient’s age, preoperative serum hCG and progesterone (r = 0.104, r = -0.337, r = -0.062, P = 0.735, P = 0.261, P = 0.884 ). Conclusion The postoperative menstruation recovery time of patients with tubal pregnancy is less than 22d or not recovered more than 47d, and the necessary medical examination or intervention should be carried out.