腹腔镜下保守性手术联合甲氨蝶呤防治输卵管妊娠后持续性异位妊娠的效果观察

Laparoscopic conservative surgery combined with methotrexate in the prevention of persistent ectopic pregnancy after tubal pregnancy

目的观察腹腔镜下保守性手术联合甲氨蝶呤防治输卵管妊娠后持续性异位妊娠的效果。方法对该院2010-01～2011-12输卵管妊娠的60例患者行腹腔镜下保守性手术治疗,取出妊娠物后在手术切口周围局部注射甲氨蝶呤50mg。结果 60例中无一例发生持续性异位妊娠。结论腹腔镜下保守性手术治疗输卵管妊娠术中应用甲氨蝶呤50mg能成功防治输卵管妊娠后持续性异位妊娠的发生。

Objective To study the effecf of laparoscopic conservative surgery combined with methotrexate for prerention and treatment of persistent ectopic pregnancy after tubal pregnancy. Methods In our hospital from Jan-uary 2010 to December 2011, 60 patients with tubal pregnancy received laparoscopic conservative surgery, and after removing the pregnancy by the operation, local injection of methotrexate 50 mg around the incision was paformed. Re- suits No persistent ectopic pregnancy was found in 60 patients. Conclusion Injection of methotrexate 50 mg during lapariscopic conservative surgery can successfully prevent and treat persistent ectopic pregnancy after tubal pregnan-cy.