腹腔镜下保守性手术后的持续性异位妊娠的探讨  

Exploration of Persistent Ectopic Pregnancy after Conservation Laparoscopic Surgery

作　　者：车荣华 张慧[2] 

机构地区：[1]上海市大场医院妇产科,上海200436 [2]第二军医大学附属长海医院妇产科,上海200433

出　　处：《实用临床医学（江西）》2006年第1期85-87,共3页Practical Clinical Medicine

摘　　要：目的:探讨腹腔镜下保守性手术后持续性异位妊娠(PEP)发生的可能病因及预防措施。方法:本组回顾性分析235例异位妊娠腹腔镜手术的临床资料。结果:其中108例异位妊娠行腹腔镜下保守性手术,11例发生了PEP,发生率为4.68%。结论:异位妊娠腹腔镜保守性手术后PEP发生的可能性大,应正确选择保守手术病例,彻底清除病灶,术中常规在着床部位的浆肌层及系膜内注入MTX,加上术后严密观察血-βHCG的下降,及时采用MTX保守治疗,可有效地预防和降低PEP的发生。Objective：To explore the possible reasons and prevention measures of persistent ectopic pregnancy （PEP） after conservation laparoscopic surgery. Methods： A retrospective analysis of 235 cases between Jun. 2001 and Apr. 2005 ectopic pregnancy after laparoscopic surgery in our hospital was performed. Results： One hundred and eight cases were performed a conservative operation by laparoscopy. There were 11 cases （4.68 %） of PEP among them. Conclusion： PEP takes place mostly after conservation laparoscopic surgery for ectopic pergnancy,really choosing the cases of conservative surgery, ablating the histiogestation completely, injecting MTX into the imbed tissue , measuring the deline of β-HCG and using MTX intime can prevent and reduce incidence of PEP efficiently.

关 键 词：腹腔镜保守性手术 持续性异位妊娠(PEP) 病例报告 

分 类 号：R714.22[医药卫生—妇产科学]