摘要
目的探讨腹腔镜下输卵管妊娠保守性手术剥离面出血的影响因素及处理方法。方法回顾性分析292例在腹腔镜下行保守性手术的输卵管妊娠患者,探讨影响剥离面出血的相关因素。结果β-HCG>3000u/mL组输卵管切除率5%,术中出血量多于β-HCG≤3000u/mL组;妊娠包块>4cm组切除率8.3%,术中出血量多于妊娠包块≤4cm组;未使用米非司酮组切除率6.3%,术中出血多于处理组(P<0.05)。39例术前使用预处理及术中处理输卵管系膜血管的患者其患侧输卵管妊娠率为5.3%,明显低于其他组(23.3%)(P<0.05)。结论影响输卵管妊娠剥离面的主要因素为β-HCG值、包块大小及术前预处理,采用米非司酮预处理及术中处理输卵管系膜血管可有效地控制腹腔镜下输卵管妊娠保守性手术的剥离面出血。
【Objective】To investigate the factors and treatment of hemorrhage from the wound surface in conservative operation of tubal pregnancy under the celioscope. 【Methods】A retrospective study were performed.This study was carried out in 292 patients who had been treated by conservative operation of tubal pregnancy under the celioscope. The factors of hemorrhage from the wound surface were investigated.【Results】The volume of blood loss in β-HCG3 000 u/mL group was more than that in β-HCG≤3 000 u/mL group. The size of mass 4 cm group was more than that in the size of mass ≤4 cm group. Not-treating with Mifepristone group was more than that in pretreating with Mifepristone group. The rate of tubal pregnancy in pretreatment group was 5.3% and was lower than that in other groups. 【Conclusion】The factors about hemorrhage from the wound surface were β-HCG,the size of mass and pretreatment before operation. It＇s effective to control the hemorrhage from the wound surface in conservative operation of tubal pregnancy under the celioscope by pretreating with Mifepristone and dealing with mesosalpinx vascular in operation.
出处
《中国内镜杂志》
CSCD
北大核心
2010年第7期736-738,共3页
China Journal of Endoscopy
关键词
输卵管妊娠
保守性手术
腹腔镜手术
出血
tubal pregnancy
conservative operation
laparoscopy
hemorrhage
