腹腔镜保留输卵管妊娠手术76例临床分析

Laparoscopic tube sparing operation for tubal ectopic pregnancy in 76 cases

目的:探讨腹腔镜手术在治疗输卵管妊娠中保留输卵管的效果。方法:回顾性分析76例腹腔镜保守治疗输卵管妊娠的临床资料。结果:8例因创面出血经电凝止血无效而行输卵管切除术,余68例保留输卵管成功,其中1例因持续性异位妊娠行MTX治疗一疗程。术后1～2个月68例保留输卵管成功者行输卵管碘油造影,患侧通畅56例,通而不畅9例,不通3例。结论:腹腔镜手术治疗输卵管妊娠保留输卵管在适宜条件下是可行的。

Objective：To investigate the effects of laparoscopic tube sparing operation in the treatment of tubal ectopic pregnancy.Methods：The clinical data of 76 cases of tubal pregnancy undergoing laparoscopic conservative treatment were retrospectively reviewed.Results：Salpingectomy was required in 8 cases because the electrocoagulation was ineffective for the bleeding of operated area,whereas the tube sparing surgery was accomplished successfully in the remaining 45 cases,in 1 of which one treatment course of MTX was administered on account of recurrent episodes.Hysterosalpingography with iodized oil at 1~2 postoperative months in 68 cases receiving conservative surgical treatment revealed that,the involved oviduct was patent in 56 cases,unobstructed but not patent in 9 cases,and obstructed in 3 cases.Conclusion：Under proper conditions,laparoscopic tube sparing operation is effective in the treatment of tubal ectopicpregnancy.