输卵管间质部妊娠的腹腔镜手术方法探讨——介绍一种简易、快速、安全的结扎切除法  

Laparoscopic Treatment for Interstitial Tubal Pregnancy:a Simple,Quick,and Safe Method

作　　者：黄润瀚[1] 刘海防[1] 刘晓军[1] 刘彦[1] 

机构地区：[1]第二军医大学附属长征医院妇产科,上海200003

出　　处：《中国微创外科杂志》2009年第4期302-304,共3页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的探讨腹腔镜下输卵管间质部妊娠的手术方法。方法1993年4月～2007年6月,腹腔镜手术处理输卵管间质部妊娠12例。其中结扎切除9例,开窗取胚1例,切割吻合器切除1例,局部注射甲氨蝶呤(40mg)1例。结扎切除采用自制1-0国产羊肠线套圈,结扎包块底部同时清除胚胎组织。结果12例手术均成功完成,手术时间30～120min,除早期1例开窗取胚术出血200ml外,余11例术中出血≤20ml。术后10例血hCG在2周内下降至正常,余2例分别于术后1、2个月恢复正常。结论腹腔镜结扎切除法治疗输卵管间质部妊娠安全有效。Objective To evaluate the efficacy of laparoscopic treatment for interstitial tubal pregnancy. Methods A total of 12 cases of interstitial tubal pregnancy underwent laparoscopy in our hospital from 1993 April to June 2007. Among the patients,9 received tubal ligation using lasso （1-0 suture were used during the surgery and the fetal tissues were removed at the same time）,1 underwent salpingotomy to remove the fetus,1 were treated by salpingectomy using stapling device,and 1 received injection of MTX （40 mg）. Results The procedure was completed within 30-120 minutes. The intraoperative blood loss was ≤20 ml in all of the cases,except one who received salpingectomy （200 ml）. In 10 patients,the level of blood hCG decreased to a normal range in 2 weeks,while the other two cases recovered in 4 and 8 weeks respectively postoperation. Conclusion Laparoscopic treatment is safe and effective for interstitial tubal pregnancy.

关 键 词：腹腔镜 套扎法 输卵管间质部妊娠 

分 类 号：R713.8[医药卫生—妇产科学]