腹腔镜保守性手术后持续性异位妊娠的防治探讨  

The prevention and treatment of persistent ectopic pregnancy after laparoscopic conservative surgery

作　　者：刘娇兰 周丽叶 

机构地区：[1]广东省东莞市长安医院,523843

出　　处：《中国医学创新》2010年第15期31-32,共2页Medical Innovation of China

摘　　要：目的探讨腹腔镜下保守性手术后持续性异位妊娠(PEP)的防治措施。方法回顾性分析东莞市长安医院268例异位妊娠腹腔镜下保守性手术的临床资料。结果 PEP 13例,发生率4.85%;11例使用甲氨喋呤及中药杀胚治疗,病情痊愈;另2例拒绝用药,再次手术。结论异位妊娠腹腔镜保守性手术后PEP发生的可能性大,严格选择保守手术病例,彻底清除病灶,术中常规在妊娠部位注入甲氨喋呤,术后严密观察血β-hCG的下降情况,及时使用甲氨喋呤及中药杀胚治疗,可有效的预防和治疗PEP。Objective To explore the prevention of persistent ectopie pregnancy（PEp） after Laparoscopic conservative surgery. Methods To retrospectively analyze the clinical data of ectopic pregnancy by Laparoscopie conservative surgery （ n = 268 ）. Results 13 cases turned out PEP. The incidence was 4.85 %, Of which 11 cases using MTX and traditional Chinese medicine to kill embryos were cured. Another refused medication two cases needed for re - operation Conclusion PEP occurred after laparoscopie surgery of ectopic pregnancy is a very big possibility. It is prevention and treatment of PEP that highly selective conservative surgical cases, eradicate lesion, inject MTX at pregnancy site during surgery routinely, observe the decline of β - hCG blood strict after surgery and use MTX and traditional Chinese medicine to kill embryos in time.

关 键 词：腹腔镜 输卵管妊娠 保守性手术 持续性异位妊娠 

分 类 号：R714.22[医药卫生—妇产科学]