摘要
目的:探讨垂体后叶素联合环扎在腹腔镜下输卵管间质部妊娠病灶清除术中的应用及治疗未破裂型输卵管间质部妊娠的临床效果。方法:以2015年1月-2017年6月在本院诊治的输卵管间质部妊娠患者为研究对象,根据患者生育要求选择术式,观察组(35例)实施垂体后叶素联合环扎后行腹腔镜下妊娠病灶清除术,对照组(32例)实施腹腔镜下妊娠病灶楔形切除术,比较两组术中术后情况。结果:观察组术中出血量(69.8±16.2ml)少于对照组(80.2±19.1ml)(P<0.05);观察组术后半年后子宫输卵管造影检查提示术侧输卵管通畅和通而不畅率达37.1%,术后2年内自然妊娠率65.7%。结论:腹腔镜下输卵管间质部妊娠病灶清除术前先行垂体后叶素联合环扎预处理,可有效减少术中出血,有效治疗输卵管间质部妊娠并能保留子宫和输卵管的完整性,较适合有生育要求的患者。
Objective:To investigate the effect and clinical value of vasopressin combined with cerclage used before unruptured tubal interstitial pregnancy removal by laparoscopic.Methods:67 women diagnosed with tubal interstitial pregnancy were selected as the research objects from January 2015 to June 2017.Based on the fertility requirements of women,35 women in the study group had received laparoscopic tubal interstitial pregnancy removal after the pretreatment by vasopressin combined with cerclage,and 32 women in the control group had underwent laparoscopic wedge resection of ectopic pregnancy.The intraoperative and postoperative situations of women were compared between the two groups.Results:The volume of blood loss of women in the study group was 69.8±16.2ml,which was significant lower than that(80.2±19.1ml)of women in the control group(P<0.05).In the study group,the rate of unobstructed or partially unobstructed of fallopian tubes found by salpingography inspection half year after operation was 37.1%,and the rate of nature pregnancy in 2 years after operation was 65.7%.Conclusion:The pretreatment by vasopressin combined with cerclage before laparoscopic tubal interstitial pregnancy removal can effectively decrease the intraoperative blood loss,can effectively treat interstitial tubal pregnancy and retain the completeness of uterus and fallopian tube,which is benefit for treating those women who have fertility requirements.
作者
贾海军
叶君
雷萍
JIA Haijun;YE Jun;LEI Ping(Zhuhai Maternal and Child Health Care Hospital,Guangdong Province,519000)
出处
《中国计划生育学杂志》
2019年第11期1438-1440,共3页
Chinese Journal of Family Planning
