两点注射垂体后叶素在腹腔镜下输卵管切开术中的临床价值

Clinic value of hypophysin injection into both cornua uteri and mesosalpinx during laparoscopic salpingotomy for tube pregnancy

目的探讨两点注射垂体后叶素在腹腔镜下输卵管妊娠切开术中的安全性和可行性。方法2006年6月～2007年12月该院妇科未破裂输卵管妊娠患者138例,均行腹腔镜下输卵管切开术,其中术中预防性使用垂体后叶素组(观察组)72例,未使用垂体后叶素组(对照组)66例,比较两组的手术时间、术中出血量、术后最高体温、手术并发症等。结果观察组的手术时间、术中出血量和持续性宫外孕等并发症发生率均明显少于对照组,两组术后最高体温差异无显著性。结论腹腔镜下输卵管切开术在患侧宫角及输卵管系膜两点注射垂体后叶素,能减少术中出血,缩短手术时间并减少持续性宫外孕等并发症的发生,是一种安全可靠的方法。

[Objective] To evaluate the safety and the feasibility of hypophysin injection for hemostasis during laparoscopic salpingotomy for tube pregnancy. [Methods] 138 cases of unruptured tube pregnancy treated by laparoscopic salpingotomy from June 2006 to December 2007 were retrospectively analyzed. 72 patients had prophylactic dilute hypophysin injection into both cornua uteri and mesosalpinx (study group), and 66 patients did not use vasopressin (control group). The operative time, intraoperative blood loss, c...