腹腔镜下输卵管妊娠保留生育功能手术210例分析

Clinical analysis of 210 patients with ectopic pregnancy laparoscope fertility remaining operation

目的探讨腹腔镜下输卵管妊娠保留生育功能术式分析。方法回顾分析输卵管妊娠保留生育功能腹腔镜手术治疗210例。患者全部行气管插管全麻术。结果210例输卵管妊娠中,盆腔粘连76例(36.2%),对侧输卵管伞端造口术13例(6.2)。本组患者全部保留输卵管取得成功。术后随访,术后一个月输卵管通液术179例(85.2)通畅,19例(9.1)通而不畅,术后6个月均通畅,随访6个月。计划外怀孕,宫内妊娠6例(2.6),再次宫外孕2例(1.0)。结论腹腔镜手术治疗输卵管妊娠保留生育功能,效果确切,微创、安全、方便快捷,术后并发症少,恢复快。但要求医生腹腔镜手术技能熟练。

Objective ： To explore the clinic value of laparoscopic preservation of the fallopian tube in tube pregnancy. Method ： 210 cases were reviewed and analysed. All patients wished to preserve their fertility potential. The operation were employed under traches anaesthesia. Result： 76 cases （36. 2% ） had pelvic adhesion. Controlataeral fistulization of fallopian fimbria were perfomed in 13cases （6. 2% ）. All operations were successful and all oviducts were remained. 179 （85.2%） cases were lucid in I month pastoperative influx operations of fallopian tube , while 19 cases （9. 1% ） were not lucid completely. 6 case （2. 9% ） pregancy and 2 cases （ 1.0% ） ectopic pregnancy occurred during 6 months follow - up. Conlusion ： Laparoscopic preservation of the fallopian tube is minimally invasive, effective and safe. It has less postoperative complications and rapid recovery in treatment of ectopic pregnancy. However , it need a skilled laparoscopic surgeon.