摘要
目的探讨腹腔镜下应用垂体后叶素联合负压吸引行输卵管间质部妊娠与传统剖腹手术的治疗效果。方法取该院2007年1月~2011年12月腹腔镜下应用垂体后叶素联合负压吸引输卵管间质部妊娠清除术26例患者与同时期传统剖腹手术治疗26例患者,比较两组手术时间、术中出血量、术后肛门排气时间、术后住院时间及术后疼痛等方面的差异以及术后随访血HCG下降情况。结果腹腔镜组与剖腹组比较,手术时间短、术中出血少、术后肛门排气早、术后住院天数短（均P〈0.01）;术后1个月无持续性异位妊娠发生。结论腹腔镜下垂体后叶素联合负压吸引行输卵管间质部妊娠清除术是安全、有效的,且有创伤小、出血少、恢复快和住院时间短等优点,比剖腹手术行输卵管间质部妊娠清除术相比有明显优势。
【Objective】To discuss clinical outcomes in managing interstitial tubal pregnancy with laparoscopic approach in combination with pituitrin administration and vacuum aspiration versus traditional open surgical approach alone.【Methods】26 patients from January 2007 to December 2011 with established diagnosis of interstitial tubal pregnancy underwent laparoscopic clearance surgery have been included in this analysis, Another 26 admitted to the same hospital in the same period with interstitial tubal pregnancy were managed by traditional open surgery as the control group.The following outcomes were compared ： operation duration, intraoperative hemorrhage, anal exhaust time,hospital stay time,postoperative pain, serum HCG recovery. 【Results】 Compared with those treated by traditional open surgical approach alone,laparoscopic approach in combination with pituitrin administration and vacuum aspiration provided statistically significant differences（P 0.01）, in all these clinical outcomes listed above and follow-up observation after one month showed absence of persistent ectopic pregnancy within this group.【Conclusions】 In managing interstitial tubal pregnancy, laparoscopic approach in combination with pituitrin administration and vacuum aspiration is safe and effective. It is less invasive,causes less bleeding and provides more rapid recovery, shorter hospital stay and so on,thus it has obvious advantages over traditional laparotomy.
出处
《中国内镜杂志》
CSCD
北大核心
2013年第12期1327-1329,共3页
China Journal of Endoscopy
