腹腔镜下行保留生育功能的输卵管异位妊娠术的临床体会  

Clinical Experience of Laparoscopic Operation in the Treatment of Tubal Ectopic Pregnancy with Reproductive Function Preserved

作　　者：吕芳 方和金 万淑梅[2] 

机构地区：[1]广东省中山市沙溪隆都医院,中山528471 [2]广州军区总医院,广州510300

出　　处：《白求恩军医学院学报》2007年第4期216-217,共2页Journal of Bethune Military Medical College

摘　　要：目的 评价腹腔镜下行保留生育功能的输卵管异位妊娠术的疗效,探讨该术式的适应证与技术要点.方法 回顾性分析35例在我院行腹腔镜下保留生育功能的输卵管异位妊娠术患者的临床资料,停经41～76 d,平均50 d.所有患者均在气管插管全麻下行腹腔镜手术治疗.结果 所有手术均取得成功,术中均保留患侧输卵管,无明显并发症发生,手术时间为72±18 min;术后止痛剂（曲马多）用量100±15 mg;术后住院时间5±1.9 d,术后随访3～6个月,无并发症发生.结论 腹腔镜下行保留生育功能的输卵管妊娠术微创、安全、有效,患者术后恢复快,值得临床推广应用.Objective To evaluate the curative effect of laparoscopic operation in the treatment of tubal ectopic pregnancy with reproductive function preserved and explore the indication and major technique of this operation. Methods Clinical data of 35 patients with tubal ectopic pregnancy who underwent laparoscopic operation with reproductive function preserved were reviewed and analyzed. Results All the operations were successful and oviduct were remained. No severe complications were happened during operation. The operative time was 72 ± 18 minutes;The dosage of analgesic （Tramal） was 100±15 mg and the mean hospital stay after surgery was 5 ± 1.9 days. No postoperative complications occurred during 3 ± 6 months follow-up. Conclusion Laparoscopic reproductive function preserved operation is minimally invasive, safe, effective in treatment of ectopic pregnancy and associated with a rapid recovery. It is worthy of spreading the technique.

关 键 词：输卵管异位妊娠 腹腔镜手术 生育功能 

分 类 号：R714.22[医药卫生—妇产科学]