对比分析宫外孕患者应用传统手术方式与腹腔镜保留输卵管治疗对患者生活质量及负性情绪的影响

Comparative analysis of the traditional mode of operation in patients with ectopic pregnancy with laparoscopic tubal retention in treatment of patients with negative emotion and quality of life.

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2016, 43(3)
作者
作者单位

四川大学华西医院 ;
中国人民解放军452医院 ;

摘要
【摘要】 目的:研究宫外孕患者应用传统手术与腹腔镜保留输卵管治疗对其生活质量以及负性情绪的对比分析。方法:选取我院从2013年1月至2015年1月收治的宫外孕患者100例,按照患者术式需要将100例宫外孕患者分为观察组(50例)和对照组(50例);对照组采取传统手术方法进行输卵管切除,观察组采取腹腔镜下输卵管开窗取胚术,将两组患者的HAMA评分与HAMD评分、生活质量以及术后妊娠率进行对比分析。结果:观察对比两组患者的HAMA评分与HAMD评分,观察组术后的评分明显小于对照组 (P<0.05);观察组术后的生活质量明显优于对照组,两组比较差异具有统计学意义(P<0.05);观察组术后半年妊娠率与对照组比较差异无统计学意义(P>0.05),一年后妊娠率明显优于对照组,差异具有统计学意义(P<0.05)。结论:腹腔镜下输卵管切开取胚术具有一定的安全性,且患者的创伤较小,提高宫内妊娠的几率,术中保留输卵管对患者具有很大的心理安慰作用,减轻了患者焦虑抑郁等负性情绪的发生,因此值得在临床上进一步推广。
Abstract
[Abstract] Objective: To study the application of ectopic pregnancy in patients with traditional surgery and laparoscopic partial analysis of the quality of life and negative emotions compared fallopian tube treatment. Methods: selected in our hospital from January 2014 to January 2015 treated 100 cases of patients with ectopic pregnancy, according to the patients operation need 100 cases of ectopic pregnancy patients divided into observation group (50 cases) and control group (50 cases), control group adopted the traditional operation method of tubal resection, observation group adopt laparoscopic salpingostomy take the embryo skill, will be two groups of patients with score of HAMA and HAMD score, quality of life and operation after the pregnancy rate were compared and analyzed. Results: Observed and compared two groups of patients with score of HAMA and HAMD scores were observed in group, the postoperative score was significantly lower than that of control group (P < 0.05); observation group, the postoperative quality of life was significantly better than the control group, the difference between the two groups has statistical significance (P < 0.05);observation group after first half of pregnancy rate and control group, the difference was not statistically significant (P > 0.05), a year after pregnancy rate was significantly better than the control group, the difference is statistically significant (P < 0.05). Conclusion: laparoscopic tubal incision from embryo surgery has certain safety and less trauma patients, the chances that improve the intrauterine pregnancy, intraoperative fallopian tube has the patient great psychological comfort, reduce the patients with anxiety, depression and other negative emotions, so it is worthy of further promotion in clinical.
关键词
【关键词】宫外孕;腹腔镜;保留输卵管;生活质量;负性情绪
KeyWord
[keyword]ectopic pregnancy; Laparoscopy; fallopian tube retention; quality of life; negative emotion
基金项目
页码 483-485
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王莉*,高宇,李硕,田青. 对比分析宫外孕患者应用传统手术方式与腹腔镜保留输卵管治疗对患者生活质量及负性情绪的影响 [J]. 国际精神病学杂志. 2016; 43; (3). 483 - 485.

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