腹腔镜联合局部甲氨喋呤注射保守治疗输卵管妊娠149例分析  

Analysis on 149 Ectopic Pregnancy Cases with Conservative Treatment by Laparoscope Combined with Local Injection of Human Methotrexate

作　　者：冉隆珍 周冰琴 陈静[2] 李红[2] 

机构地区：[1]营山县人民医院妇产科,四川营山637700 [2]蓬安县人民医院妇产科,四川蓬安637800

出　　处：《川北医学院学报》2009年第5期453-455,共3页Journal of North Sichuan Medical College

摘　　要：目的探讨腹腔镜联合局部甲氨喋呤注射保守治疗输卵管妊娠的临床价值。方法营山及蓬安两家医院于2004年3月-2009年4月,对149例输卵管妊娠,采用腹腔镜取胚、联合应用甲氨喋呤局部注射治疗。结果149例无中转开腹,手术时间25-105分钟,平均52分钟,住院时间3-5天,平均3天,无术后病率及术后持续异位妊娠,其中137例术后3月行输卵管通液术,115例患侧输卵管通畅,18例通而不畅,4例不通。结论腹腔镜联合局部甲氨喋呤注射保守治疗输卵管妊娠安全、有效。Objective To study the clinic value of conservative treatment by laparoscope combined with local injection of human methotrexate. Methods 149 ectopic pregnancy cases were tentatively and conservatively treated through embryo-collecting with laparoseope combined with local injection of human methotrexate from March, 2004 to April, 2009 in our two hospitals. Results None of the 149 ca- ses was transferred to laparotomy during the conservative treatment. The operation time was 25 -105 （averaging 52） minutes; the du- ration of hospitalization was 3 - 5 （averaging 3） days. There was neither postoperative morbidity nor sustainable ectopie pregnancy. 137 eases received uterine tubal liquid poking treatment 3 months after operation; the oviducts were unobstructed on the affected sides in 115 cases, unobstructed but not well flowing in 18 cases ; and obstructed in 4 cases. Conclusion Treatment of ectopic pregnancy with laparoscope combined with local injection of human methotrexate was safe and effective.

关 键 词：腹腔镜 输卵管妊娠 输卵管保守性手术 甲氨喋呤 

分 类 号：R714.221[医药卫生—妇产科学]