摘要
目的 探讨输卵管妊娠病人腹腔镜手术后持续性异位妊娠 (PEP)发生的可能原因 ,并提出可行的预防措施。方法 回顾性分析该院 1999年 1月～ 2 0 0 2年 12月间 12 4例接受腹腔镜手术并经病理证实为输卵管妊娠的病例。结果 5例腹腔镜手术中转开腹 ,2例发生PEP ,发生率为 1.7% (2 / 119)。结论 虽然异位妊娠腹腔镜手术后PEP的发生率较高 ,但通过术式的正确选择、操作技巧的改进 ,以及药物性预防和医生警惕性的提高是可以减少甚至避免其发生的 ,与此同时也减少了治疗费用并最大限度保障了生育功能。
Objective: To explore the possible reasons of persistent ectopic pregnancy(PEP) after laparoscopic(LSC) surgery for tubal pregnancy, and put forward feasible preventive measures. Methods: One hundred and twenty-four cases between Jan. 1999 and Dec. 2002 were studied retrospectively which were proved tubal pregnancy by pathology after laparoscopic surgery in this hospital. Results: Five cases were turned to laparotomy for the complicated factors. The occurrence rate of persistent ectopic pregnancy(PEP) was 1.7%(2/119).Conclusions:Though the occurrence rate of PEP are higher after laparoscopic surgery, PEP may be decreased even avoided through the correct choose of surgery type, the improvement manipulation of operation, the prevention of drag and the enhancement attention of doctor, at the same time, the management will also cut down the fee of treatment and ensure the maximum fecundity.
出处
《中国内镜杂志》
CSCD
2004年第5期36-38,共3页
China Journal of Endoscopy
关键词
输卵管妊娠
腹腔镜
持续性异位妊娠
原因
预防
tubal pregnancy
laparoscopic surgery
persistent ectopic pregnancy
reason
prevention
