不同治疗方式在输卵管妊娠中的应用  

Different treatment on tubal pregnancy

作　　者：李咏梅[1] 胡平[1] 马亚琳[1] 

机构地区：[1]郧阳医学院附属人民医院妇产科,湖北十堰442000

出　　处：《西部医学》2010年第3期519-521,共3页Medical Journal of West China

摘　　要：目的探讨腹腔镜输卵管开窗取胚术加局部甲氨蝶呤(MTX)注射在输卵管妊娠治疗中的价值。方法选取149例输卵管妊娠病例,分为3组,A组和B组有生育要求,A组43例行腹腔镜输卵管开窗取胚术加局部MTX注射,B组39例行输卵管开窗取胚术,C组67例无生育要求行腹腔镜输卵管切除术,比较3组术后血β-HCG下降情况。结果A组血β-HCG转阴时间与C组血β-HCG转阴时间相近,且均较B组时间明显缩短,无持续性异位妊娠发生。结论腹腔镜下输卵管开窗取胚术加局部MTX注射,术后血β-HCG转阴快,减少了持续性异位妊娠发生,增加了患者的生育机会。Objective To investigate the treatment value of taking embryo by laparoscopie salpingostomy surgery and local methotrexate {MTX） injection in tubal pregnancy. Methods 149 tubal pregnancy cases were divided into 3 groups. 43 cases in group A were taken embryo by laparoseopie salpingostomy and local MTX injection. 39 cases in group B were taken embryo by laparoscopie salpingostomy. 67 cases in group C without reproductive requirements were performed with laparoscopic salpingectomy, blood β-HCG was observed. Results The transition time of blood β-HCG to negativity in group A and group C was similar. Moreover, the time in group A was obviously shorter than that in group B. There was no case of persistent eetopic pregnanc in group A. Conclusion Taking embryo by laparoscopic salpingostomy and local MTX injection gained shorter postoperative transition time of blood β-HCG to negativity, less incidence of persistent ectopic pregnancy, more reproductive opportunities of patients.

关 键 词：输卵管妊娠 腹腔镜输卵管开窗取胚术 甲氨蝶呤 输卵管切除 

分 类 号：R714.22[医药卫生—妇产科学]