| Background and ObjectiveIn this paper,we retrospectively and prospectively studied the laparoscopic temporary internal iliac artery blocking in gynecology.The perioperative and postoperative follow-up of patients with TIIAB combined with tissue removal of pregnancy and patients with uterine artery embolization combined with laparoscopic tissue removal of pregnancy were conducted to investigate the effect of laparoscopic temporary interruption of internal iliac artery combined with tissue removal of pregnancy on ovarian function in women,so as to evaluate the safety and clinical value of temporary interruption of internal iliac artery.Materials and Methods1.Sample source:a prospective analysis of 76 cases of type III cesarean scar pregnancy admitted to our hospital from September 2017 to June 2019.The patients were all 20-37 years old,with regular menstrual cycle.The patients were divided into two groups,including 36 patients(Study Group)with laparoscopic internal iliac artery temporary occlusion combined with pregnancy tissue removal,and 40 patients(control group)with uterine artery embolization combined with laparoscopic pregnancy tissue removal2.Test method:The two groups of patients were followed up for 6 months,and the operation time,intraoperative blood loss,24-hour HCG decline rate,postoperative complications,postoperative hospitalization days,hospitalization costs,follicle-stimulating hormone(FSH)before and 1,3 and 6 months after operation were compared between the two groups.Changes in the levels of luteinizing hormone(LH),estrogenic(E2)and antral follicle count(AFC).3.Statistical methods:SPSS22.0 statistical software was used to process the measurement data,which were expressed as mean standard deviation(x±S),t-test was used for data analysis,and x2 test was used for comparison of the rates,and the test level was ?=0.05,and P<0.05 was used to judge whether the difference was statistically significant.Results1.Baseline comparison between the two groups:patients in tiiab group were(28.97 ± 4.614)years old,blood ?-HCG value at admission(18906.119 ±11296.739)mIU/ml,days of menopause(47.20±3.660)and cesarean section times(1.56±0.652).Patients in control group were(29.03±4.185)years old,blood ?-HCG value at admission(17852.573±10585.3511)mIU/ml,menopause days(47.38 ±2.084),cesarean section times(1.65±0.700).The age,menopause days,blood ?-HCG value and cesarean section times of the two groups.There was no significant difference in baseline data between the two groups(P>0.05).2.Comparison of perioperative and postoperative indexes between the two groups:hospitalization expenses(17888.81± 1381.993)yuan,menstrual rehydration time(35.89 ± 5.917)days,postoperative complications rate(6±2.32)%,hospitalization expenses(25291.68 ± 2075.945)yuan,menstrual rehydration time(47.20±18.088)days and postoperative complications rate(22.5 ± 4.23)%,comparison of the above indexes between the two groups The difference was statistically significant(P<0.05).In tiiab group,the operation time(126.47±13.207)min,intraoperative blood loss(112.44 ±22.649)ml,postoperative 24-hour hCG reduction rate(81 ± 2.15)%,postoperative hospital stay(5.28±1.209)days,control group(125.58 ± 22.960)min,intraoperative blood loss(102.22±22.911)ml,postoperative 24-hour hCG reduction rate(81 ± 2.15)%,postoperative hospital stay(5.33 ±1.04)days,There was no significant difference between the two groups(P>0.05).3.Comparison of the effects on ovarian function between the two groups:the preoperative FSH,LH,E2 hormone levels and AFC of the two groups were compared,and the difference was not statistically significant(P>0.05).Node comparison at the same time between the two groups:1 month,3 months after surgery,the difference was statistically significant(P<0.05),while at 6 months after surgery,the difference between the two groups was not statistically significant(P>0.05);within the two groups,the difference was not statistically significant(P>0.05):FSH,LH,E2 at 1 month,3 months and 6 months after surgery in the study group,but FSH,LH,E2 at 1 month,3 months and 6 months after surgery in the control group.The difference was statistically significant(P<0.05).There was no significant difference in AFC between or within groups(P>0.05).ConclusionCompared with uterine artery embolization,laparoscopic temporary interruption of internal iliac artery has the advantages of low hospitalization cost,less postoperative complications,short menstruation time,and avoids damage to ovarian function.It is safe and worthy of clinical popularization. |
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