腹腔镜保守手术治疗输卵管妊娠60例

Conservative Operation with Laparoscopy for 60 Tube Pregnancy Cases

目的探讨腹腔镜下保留输卵管手术治疗输卵管妊娠的疗效.方法分析60例接受腹腔镜保守手术治疗的输卵管妊娠患者的疗效.结果 60例输卵管妊娠患者全部完成保守手术,2例并发术后出血,其中1例再次手术切除患侧输卵管;全部病例血β-HCG(人绒毛膜促性腺激素)术后2周恢复正常.术后1～6个月28例做输卵管通畅实验,其中18例双侧输卵管通畅,通畅率64.29%.结论腹腔镜下保守性手术治疗输卵管妊娠创伤小,并发症少,术后恢复快,并能保留育龄妇女的生育功能,可作为有生育要求的输卵管妊娠患者首选的手术方式.

Objective To investigate laparoscopic surgery effects for tube pregnancy. Methods The conservative operation was performed on 60 patients with tube pregnancy, fenestration on the position of tube pregnancy or taking out embryos from the tube crevice by laparoscopic surgery. Results The fallopian tubes of 60 patients were successfully retained with no complication occurred. β-HCG in blood recovered to normal level two weeks after operation, and the tube patency tests were carried out for 28 patients in one to six months after operation. The rate of oviduct opening was 64.29%. Conclusion Conservative operation of oviduct pregnancy by laparoscopy is safe and effective which is minimal invasion, less complication and quickly recovery. This method is especially suitable for the patients who want remaining bearing ability.