输卵管妊娠腹腔镜术后绒毛腹腔种植的原因和预防

Cause and precaution of villus cultivating in celiac after laparoscopy of fallopian pregnancy

目的探讨输卵管妊娠腹腔镜术后绒毛腹腔种植的原因和预防。方法回顾性分析2例输卵管妊娠腹腔镜术后绒毛腹腔种植病人的临床资料。结果第1例病人停经39 d伴腹腔内出血在我院行腹腔镜下输卵管切除术,术后44 d再次腹腔内出血,开腹探查绒毛种植于大网膜。另1例也因输卵管妊娠于我院行腹腔镜下输卵管切除术,术后26 d发生腹腔内出血,开腹探查绒毛种植于结肠肝曲、脾曲。结论输卵管妊娠行腹腔镜手术容易发生绒毛腹腔种植,术中注意体位的摆放和绒毛的跟踪。术后应监测血β-HCG水平。

To study the cause and precaution of villus cultivating in celiac after laparoscopy of fallopian pregnancy. Two patients who suffered from villus cultivating in celiac after laparoscopy of fallopian pregnancy were reported retrospectively. In our hospital two cases had been performed tubal ectomy by using laparoscope and suffered from hemorrhage in abdomen. The 1st happened in 44 days after operation and the villus grew on the epiploon; the 2nd happened in 26 days after operation and the villus grew on hepatic and splenic of colon. [Conclusions] It is easy to happen that the villus cultivated in abdominal capvity after pregnancy of fallopian tube has been operated by using laparoscope. We should pay attention to the position of body and follow the villus when we are operating, and monitor the level of hematic β-HCG after operation.