休克型输卵管妊娠行保守性手术30例的临床分析  

Clinical Analysis of 30 Tubal Pregnancies with Shock Treated by Conservative Operation

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作  者:陈梅绮[1] 

机构地区:[1]广东省湛江中心人民医院妇产科,广东湛江524037

出  处:《海南医学》2006年第9期42-43,共2页Hainan Medical Journal

摘  要:目的探讨休克型输卵管妊娠行保守性手术的可靠性及安全性。方法分析我院1997年1月至2005年1月收治的72例休克型输卵管妊娠临床资料,分为两组,保守性手术组(研究组30例),为有生育要求的患者;输卵管切除手术组(对照组42例),为无生育要求患者。分析两组患者术中情况。结果72例休克型输卵管妊娠患者全部抢救成功,研究组与对照组的临床资料无明显差异。腹腔内出血量分别为(1455.2ml±547.6ml)与(1534.3ml±475.1ml);自体输血量分别为(657ml±358ml)与(593ml±376ml);异体输血量分别为(258ml±289ml)与(234ml±327ml);手术时间分别为(53±15)与(44±20)min,两组比较,上述指标统计学上无明显差异。其中研究组发生持续性异位妊娠2例,发生率6.7%。结论对有生育要求的休克型输卵管妊娠患者,在积极抗休克,配以良好的麻醉及输血技术,同时行保守性手术是安全可行的,对保留生育功能有良好的作用。Objective To evaluate the feasibility and safety of conservative operation on the tereapy of tubal pregnancy with shock. Methods Seventy two women of tubal pregnancy with shock were divided into two groups: conservative operation (study group) and salpingectomy (control group). Conservative operation was given to women who desire to keep their reproductive capability. Salpingectomy was performed in women that complete labour. The clinical data of operative periods in two groups were analyzed. Results All patients were survival. The clinical data was not significantly difference in two groups. Intraabdominal blood loss was higher in study group (1455.2±547.6)ml than control group (1534.3±475.1)ml, but the difference was not significant. Autologous blood transfusions were given to (657±358)ml and (593±376)ml in study group and control group, the difference was not statistically significant (P〉0.05), Different body blood transfusions were given to (258± 289)ml and (234±327)nd, the difference was not significant (P〉0.05). The operating time was longer in study group than control group (53±15) and (44±20)min, but the difference was not statistically significant (P〉0.05). There were 2 cases of persistent eetopic pregnancy after eoncervative operation, the incidence was 6.7%. Conclusions Coneervative operation is safe and feasible in patients of tubal pregnancy with shock who desire to keep their reproductive capability. The operation can be safely performed with the aid of optimal anesthesia and blood transfusion. It would be good at keeping their reproductive capability.

关 键 词:输卵管妊娠 失血性休克 保守性手术 

分 类 号:R714.221[医药卫生—妇产科学]

 

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