腹腔镜下输卵管妊娠挤胚术的临床探讨

Tubal pregnancy embryos extrusion operation by laparoscopic

目的探讨腹腔镜下输卵管妊娠挤胚术治疗输卵管妊娠的价值。方法对比分析2003年至2005年腹腔镜下35例输卵管挤胚术(挤胚术)和30例输卵管开窗术(开窗术)的临床资料。结果两组患者年龄及临床表现相似,挤胚术组及开窗术组的宫内妊娠率分别为63.86%和33.33%,两组相比,差异有统计学意义(P<0.05)。结论腹腔镜下挤胚术后输卵管再通率及宫内妊娠率高,腹腔镜下输卵管妊娠挤胚术是异位妊娠特别是要求保留生育功能者首选的手术方式。

Objective To explore the clinical value of tubal pregnancy embryos extrusion operation by laparoscopic. Methods Comparativly analyse 35 cases of tubal embryos extrusion operation during 2003 to 2005 and 30 cases of tubal fenestration. Results The two groups were similar iu year and clinical symptoms ,the intrauterine pregnancy rate in embryos extrusion operation group was 63. 86% and that in fenestration group was 33. 33% , there was significant difference between these two groups （ P 〈 0. 05 ）. Conclusison Recanalizatinn rate of tubal after operation and intrauterine pregnancy rate both become higher after embryos extrusion operation by laparoscopie. Tubal pregnancy embryos extrusion operation by laparoscopic is the most preferred surgery for ectopie pregnancy patients espeeially those who hope to reserve fertility.