输卵管妊娠腹腔镜根治术后持续性异位妊娠的临床分析  

Clinical analysis on persistent ectopic pregnancy after laparoscopic radical operation dealing with tubal pregnancy

作　　者：张玮[1] 邓赫男[1] 雷恒[1] 

机构地区：[1]湖南省郴州市第一人民医院,湖南郴州423000

出　　处：《吉林医学》2013年第13期2451-2453,共3页Jilin Medical Journal

摘　　要：目的:总结输卵管妊娠腹腔镜根治术后持续性异位妊娠的发生原因及预防和处理措施。方法:回顾分析1 031例行腹腔镜根治术的输卵管妊娠病例。结果:术后发生持续性异位妊娠共8例,6例采用药物保守治疗成功,2例保守治疗无效行手术治疗。结论:输卵管妊娠腹腔镜根治术后可发生一定比例的持续性异位妊娠,术中和术后采用各种预防措施可减少其发生率,早期发现和及时的药物保守治疗可避免持续性异位妊娠的再次手术。Objective To study the cause,prevention and method of persistent ectopic pregnancy after laparoscopic radical operation dealing with tubal pregnancy.Method We analyzed 1031 cases suffered from laparoscopic radical operation from January 2009 to January 2012 retrospectively,8 out of 1031 cases got persistent ectopic pregnancy.Results 6 cases were cured by pharmic conservative treatment,2 cases of conservative treatment fails were cured by surgical treatment.Conclusion The ratio of persistent ectopic pregnancy may increase after laparoscopic radical operation dealing with tubal pregnancy,but some preventive methods can decrease the ratio,early detection and pharmic conservative treatment can avoid secondary operation of persistent ectopic pregnancy.

关 键 词：输卵管妊娠 腹腔镜 输卵管切除术 持续性异位妊娠 

分 类 号：R445.1[医药卫生—影像医学与核医学] R714.22[医药卫生—诊断学]