腹腔镜下电凝切除法治疗输卵管间质部妊娠15例临床分析

目的:探讨腹腔镜下电凝切除法治疗输卵管间质部异位妊娠的临床价值。方法:回顾性分析2007年1月～2009年12月妇科采用腹腔镜下电凝切除法治疗输卵管间质部妊娠的临床资料,15例输卵管间质部妊娠包块,8例未破裂,7例破裂(2例破裂并伴失血性休克),包块直径<6cm。结果:15例手术均镜下操作成功,未行缝合套扎,无中转开腹,无术中术后并发症发生。手术时间最短30分钟,最长65分钟,平均失血量100ml,术后住院时间3～5天。结论:输卵管间质部妊娠包块直径<6cm,采用腹腔镜下电凝切除法治疗,具有可操作性,术式简便,不良反应小,患者恢复快等优点。

Purpose：discuss the clinical value of electrocoagulation excision on treatment of interstitial portion of the tube ectopic gestation under celoscope. Method：perform retrospective analysis on the clinical data of the electrocoagulation excision under celoseope adopted by the gynecologic department of our hospital from January 2007 to December 2009. In 15 cases tubal interstital pregnancy enclosed mass, 8 cases are not ruptured and 7 cases are ruptured（2 cases are ruptured with hemorrhagic shock）. The diameter of the enclosed mass is 〈6cm. Methods：IS surgeries are successfully operated under celoscope, no stitching hgation or abdomen opening is operated. There is no intraoperative complication or postoperative complications. The minimal operation time is 30rain and maximal time is 65min. The average blood loss quantity is 100ml with 3 -5 days hospitalization time. Conclusion ： diameter of tubal interstital pregnancy enclosed mass is 〈 6cm. It is operable to adopt the electrocoagulation excision under celoscope for treatment. It is simple in operation method,little in side effect and quick in recovery.