摘要
目的探讨输卵管妊娠腹腔镜下保守治疗的临床价值。方法对诊断输卵管妊娠的78例有生育要求需要保留输卵管的患者,采用腹腔镜下保守性手术治疗,先在输卵管系膜注射稀释后的垂体后叶素3IU,采用输卵管切开取胚及输卵管挤胚术,术后输卵管系膜注射甲氨喋呤50mg。结果 78例患者均在腹腔镜下完成手术,有两例术后持续性异位妊娠,其余无术中术后并发症,100%保留输卵管,手术时间30~50分钟,术中出血量20~30ml,术后住院约4~6天。结论腹腔镜下输卵管保守治疗可保留患者生育功能,手术时间短,术中出血少,术后恢复快。
Objective To investigate the clinical value of laparoscopic tubal pregnancy conservative treatment .Methods 78 patients with the diagnosis of tubal pregnancy ,fertility requirements ,the patient requested the retention of the patient's fallopian tube ,laparoscopic conservative surgery ,the first in the posterior pituitary the injection of mesosalpinx diluted vasopressin IU tubal cut embryo and fallopian tubes to squeeze the embryos surgery ,postoperative mesosalpinx injection methotrexate 50 mg .Results 78 patients in the laparoscopic surgery ,two patients with per-sistent ectopic pregnancy ,the rest of intraoperative and postoperative complications ,100% reserved fallopian tubes ,30 to 50 minutes of operation time ,blood loss 20~30 ml .postoperative hospital stay was about 4~6 days ,conservative treatment .Conclusion Laparoscopic tubal preserve fertility ,shorter operative time Less bleeding ,rapid postoperative recovery .
出处
《环球中医药》
CAS
2013年第S2期119-120,共2页
Global Traditional Chinese Medicine
关键词
腹腔镜
输卵管妊娠
保守性手术
Laparoscopic
Tubal pregnancy
Conservative operatio
