垂体后叶素两种注射方法应用于腹腔镜下输卵管切开术

Two different methods of hypophysin used in laparoscopic salpingotomy

目的探讨垂体后叶素两种注射方法应用于腹腔镜下输卵管切开术。方法选取未破裂输卵管妊娠患者100例。分为3组,其中两点注射组:36例,手术中采用垂体后叶素分别注射于患侧宫角及输卵管系膜处;单点注射组:31例,手术中垂体后叶素仅注射于输卵管系膜处;对照组:33例。结果两点注射组和单点注射组手术时间和术中出血量均少于对照组,差异具有显著性(P<0.05),且两点注射组与单点注射组比较,差异也具有显著性(P<0.05)。两点注射组输卵管通畅情况及妊娠情况均优于对照组,差异具有显著性(P<0.05),但是两点注射组与单点注射组,单点注射组与对照组之间差异均无显著性(P>0.05)。结论垂体后叶素应用于腹腔镜下输卵管切开术安全、有效,同时,两点足注射法可更好的减少术中出血,提高患者预后,值得临床推广。

[ Objective ] To investigate two different methods of hypophysin used in laparoscopic salpingotomy for tube pregnancy. [Methods] Selected 100 cases of ectopic pregnancy underwent laparoscopic salpingotomy were divided into 3 groups. The study group 1, 36 cases, the patients received bi-dilute hypophysin injection; the study group 2, 31 cases, the patients received mono-dilute hypophysin injection; the control group, 33 cases. [Results] The bi-injection group＇s and mono-injection group＇s operation time and blood lose were statistically significantly less than control group＇s （P 〈0.05）, and the bi-injection group＇s was still statistically significantly less than mono- injection groupJs （P 〈0.05）. The bi-injection group＇s tubal patency and pregnancy conditions were statistically significantly better than the control group. [ Conclusion ] Hypophysin used in laparoscopic salpingotomy for tube pregnancy can reduce the operation time and blood lose. The method of bi-injection into cornua uteri and mesosalpinx is better, worthy of clinical promotion.