摘要
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.
出处
《现代医药卫生》
2010年第13期1961-1962,共2页
Journal of Modern Medicine & Health
关键词
输卵管妊娠
腹腔镜
手术
Tubal pregnancy
Laparoscopy
Surgery