腹腔镜下撕拉法输卵管切除术的临床分析  

CLINICAL ANALYSIS OF LAPAROSCOPIC SALPINGECTOMY BY TEARING METHOD

作　　者：周洪贵[1] 刘玉娟[1] 李佳平[1] 曾玉华[1] 

机构地区：[1]四川川北医学院附属医院妇产科,南充637000

出　　处：《现代预防医学》2010年第6期1191-1192,1194,共3页Modern Preventive Medicine

摘　　要：[目的]探讨腹腔镜下撕拉法切除输卵管的临床效果。[方法]在腹腔镜下对58例无再生育要求的输卵管妊娠患者采用单级电凝输卵管系膜后以撕拉法做改良的输卵管切除术,以常规术式43例患者为对照。[结果]撕拉法输卵管切除术切除输卵管的手术时间2～3min显著少于常规术式(5.8±0.39),手术几乎不出血,无手术并发症。[结论]撕拉法输卵管切除术是一种操作简便、创伤更轻微、安全和可靠的手术方法。[Objective] To evaluate the clinical effect of tearing method in laparoscopic salpingectomy. [Methods] Improved laparoscopic salpingectomy by tearing method after monopolar electrocoagulating the mesosalpinx was performed in 58 cases of tubal pregnancy without fertility requirements, 43 cases treated with conventional surgical procedure were recruited as controls. [Results] Removal of fallopian tube would spend 2-3min in laparoscopic salpingectomy by tearing method, which was significantly shorter than conventional surgical procedure （with 5.8 ± 0.39min）. There were almost no bleeding and no surgical complications in the improved method. [Conclusion] Laparoscopic salpingectomy by tearing method was simple, with mild trauma, safe and reliable surgical method.

关 键 词：输卵管妊娠 输卵管切除术 腹腔镜 单级电凝 

分 类 号：R711.76[医药卫生—妇产科学]