腹腔镜下治疗输卵管妊娠

Laparoscopic Surgery for Unruptured Tubal Pregnancy

目的探讨输卵管妊娠腹腔镜下保守性手术即输卵管线形切开术的适应症、可行性及注意点。 方法回顾性分析 1 995年 4月～ 1 999年 8月对 6 8例输卵管妊娠要求保留生育能力的患者进行腹腔镜下保守性手术 ,输卵管线形切开取胚术。 结果平均手术时间 5 0min ,术后平均住院日 2 .5d ,6 8例中术后发生 2例输卵管持续妊娠。结论输卵管妊娠腹腔镜下保守性手术安全、有效 ,手术创伤小 ,保留了患侧输卵管 ,术后恢复快 ,并发症少。持续性异位妊娠是镜下保守性手术后最常见的并发症 ,术后绒毛膜促性腺激素的定量测定可以及早发现持续性异位妊娠。

Objective To assess the indications, feasibility and important points of conservative laparoscopic linear salpingostomy. Methods 68 patients with intension unruptured ectopic pregnancy(EP) reserve their fertility, undergoing laparoscopic linear salpingostomy were retrospectively analyzed.Results The average operative time was 50min, and post-operative hospital stay was 2.5d. 2 cases complicated with persistent EP post-operatively. Conclusion Laparoscopic linear solpingostomy for unruptured EP is safe, efficacious, and recovery is quick with few complications. The most common post-operative complication is persistent EP. Postoperative follow-up of the human serum chorionic gonadotropin level can detect persistent EP earlier.