腹腔镜下输卵管妊娠的保守性手术治疗

目的:分析腹腔镜下保守性手术治疗输卵管妊娠的疗效及临床应用价值。方法:对2009年1月～2011年12月就诊于本院妇产科的80例输卵管妊娠患者进行腹腔镜下输卵管开窗术及挤压法清除输卵管妊娠胚胎,患侧输卵管系膜下注射甲氨蝶呤(MTX)50mg及稀释垂体后叶素3IU。结果:80例输卵管妊娠患者腹腔镜下的保守手术均取得成功,均顺利保留了输卵管。无中转开腹的病例,术后未发现有并发症的患者,有2例发生持续性异位妊娠。手术所需时间为(52±14)min,手术过程中出血量(28±16)mL,术后住院天数平均5.5 d。术后输卵管通畅率达88.75%。结论:腹腔镜下行保守手术保留生育功能,手术所需时间短、术中出血量少,术后恢复快。

Laparoscopic Conservative Treatment of Tubal Pregnancy

Objective: To analyze the efficacy and clinical value of laparoscopic conservative treatment of tubal pregnancy.Methods: 80 cases of tubal pregnancy were collected in the obstetrics and gynecology in our hospital from January 2009 to December 2011.Laparoscopic tubal fenestration and extrusion method were used to remove the tubal pregnancy.Embryonic ipsilateral mesosalpinx was injected by methotrexate neopterin(MTX) 50 mg and diluted pituitary vasopressin 3IU.Results: 80 cases of tubal pregnancy were treated by laparoscopic conservative surgery successfully.The fallopian tube and were retained successfully.After surgery,no laparotomy cases were found with complications.2 cases had persistent ectopic pregnancy.The operation time was(52 ±14) min,bleeding(28 ± 16) mL during surgery.The average postoperative hospital stay was 5.5d.Rate of postoperative tubal patency was 88.75%.Conclusion: Laparoscopic conservative surgery to preserve fertility was characterized by short operation time,less blood loss and rapid postoperative recovery.