腹腔镜下环形缝扎切开取胚法治疗输卵管间质部妊娠

Laparoscopic Annular Ligation and Opening-Taking Embryo Operation on Interstitial Tubal Pregnancy

目的探讨腹腔镜下环形缝扎切开取胚法治疗输卵管间质部妊娠的手术方法及效果。方法选择腹腔镜下确诊包块型未破裂的输卵管间质部妊娠要求保留生育功能患者共112例,按手术时间及手术方法分为研究组65例、对照组47例。研究组行腹腔镜下输卵管间质部妊娠环形缝扎切开取胚术,对照组行腹腔镜下垂体后叶素注射后行输卵管间质部妊娠切开取胚术。比较两种手术成功率、手术时间、术中出血量、术后持续性异位妊娠发生率、术后输卵管通畅率及术后妊娠情况。结果研究组在手术成功率、术后输卵管通畅率均高于对照组;研究组手术时间、术中出血量均短于对照组。研究组无持续性异位妊娠发生,对照组有4例持续性异位妊娠。结论腹腔镜下环形缝扎切开取胚法治疗输卵管间质部妊娠是安全、有效的治疗方法。

Objective To investigate the method and efficacy of Annular Ligation and Opening-Taking Embryo Operation on Interstitial Tubal Pregnancy.Methods The clinical data of112cases with unrupture lump interstitial tubal pregnancies(requesting reserve procreate function)were retrospectively analyzed.The cases are divided into two groups according to the operation time and operation methods(65cases in research group,47cases in control group).The cases of control group were treated with opening-taking embryo by laparoscopic operation after injected hypophysin around the pregnancy lump,and in the study group,we first annular ligate the pregnancy lump and then opening-take the embryo by laparoscopic operation.Operation accomplish rate,operation time,operation blood volume,persistent ectopic pregnancy(PEP)happening rate,fallopian tube unobdo structed information and pregnancy information after operation were compared between these two groups.Results In study group,operation success rate and Fallopian tube unobstructed rate were significantly higher than that in control group;the operation time and operation blood volume were obviously lesser than that jn control group.There was no patient with persistent ectopic pregnancy(PEP)in study group.While there were4patients with persistent ectopic pregnances in control group.Conclusion It is safe and effective with using laparoscopic annular ligation and openingtaking embryo operation on interstitial tubal pregnancy.