摘要
目的探讨腹腔镜治疗宫内妊娠合并输卵管间质部妊娠的安全性及妊娠结局。方法 2012年1月~2015年1月我院生殖医学中心对因体外受精-胚胎移植术后宫内妊娠合并间质部妊娠6例全麻下行腹腔镜手术,清除腹腔内积血,清除异位妊娠病灶后连续缝合输卵管间质部切口。结果手术时间55~80 min,(63.7±14.2)min。术后2周复查B超均可见宫内妊娠胎心搏动,子宫间质部病灶无明显血流信号。6例随访23~41个月,(31.8±5.9)月,6例均已分娩,无子宫破裂及新生儿畸形发生。结论腹腔镜治疗宫内妊娠合并输卵管间质部妊娠安全有效。
Objective To analyze the safety and clinical outcomes of laparoscopic surgery for heterotopic interstitial pregnancy patients after in vitro fertilization-embryo transfer（IVF-ET）. Methods Clinical data of 6 cases of heterotopic interstitial pregnancy after in vitro fertilization-embryo transfer（IVF-ET） who underwent general anaesthetic laparoscopic surgery in our hospital were analyzed. Under the laparoscopic exploration,intraperitoneal blood clots were removed,and the incision of interstitial fallopians were continuous sutured after the ectopic pregnancy focal were cleaned up. Results The mean surgery time was（63. 7 ± 14. 2） min（range,55-80 min）. All the patients underwent ultrasound examinations 2 weeks after the surgery. All the intrauterine fetal heart beats could be seen and no obvious blood flow signal was seen in the interstitial part of uterus. Follow-ups for 23-41 months（mean,31. 8 ± 5. 9 months） found all the 6 patients had childbirth without uterine rupture or neonatal malformation. Conclusion Laparoscopic management may lead to favorable prognoses in patients with heterotopic interstitial pregnancy.
出处
《中国微创外科杂志》
CSCD
北大核心
2017年第4期307-309,共3页
Chinese Journal of Minimally Invasive Surgery
基金
首都卫生发展科研专项项目(项目编号:首发2014-1-4091)
关键词
输卵管间质部妊娠
腹腔镜
体外受精-胚胎移植
Heterotopic interstitial pregnancy
Laparoscopic surgery
In vitro fertilization-embryo transfer（IVF-ET）
