腹腔镜技术在输卵管间质部妊娠手术中的应用价值  

Application value of laparoscopic surgery for tubal interstitial pregnancy

作　　者：莫春梅[1] 莫冬梅[2] 

机构地区：[1]肇庆市怀集县人民医院妇产科,526400 [2]肇庆市怀集县人民医院功能科,526400

出　　处：《国际医药卫生导报》2010年第14期1708-1711,共4页International Medicine and Health Guidance News

摘　　要：目的 探讨腹腔镜技术在输卵管间质部妊娠手术中的应用价值.方法 26例输卵管间质部妊娠病例应用腹腔镜技术进行治疗,并对其术后手术的效果、优越性进行总结分析.结果 26例患者在腹腔镜下手术均顺利完成手术,无中转开腹病例.手术时间45-105 min,平均（63.8±2.4）min,术中出血量100-250ml,平均出血量（49.8±17.1）ml.术后6h可以下床活动,8-20h肛门排气,平均（12.8±1.4）h,住院3-6d,平均（3.9±0.4）d,切口甲级愈合.术中有4例患者出血量达到250ml.术后5d血B-HCG较术前下降均〉50%,术后10d均降至正常水平.术后3d血β-HCG明显下降,术后1月内无急腹症表现.结论 腹腔镜技术治疗输卵管间质部妊娠是安全可行的,而且手术效果优越,治疗预后好,值得临床推广应用.Objective To explore the application value of laparoscopic surgery for tubal interstitial pregnancy.Methods Laparoscopic surgery was performed on 26 women with interstitial pregnancy.The efficacy and advantages were analyzed.Results Laparoscopic surgery was successfully performed on all the women and no laparotomy was required.The surgical duration was 45 to 105 min （mean [63.8 ± 2.4] min）,intraoperative blood loss was 100 to 250 ml [mean （49.8 ± 17.1）ml].All the women could ambulate 6 h and have flatus 8 to 20 h [mean （12.8 ± 1.4）h] after the procedure.The hospital stay was 3 to 6 days [mean （3.9 ± 0.4）d].All the wounds were primary healing.Blood β -HCG decreased markedly on day 3,declined by 50% on day 5,and then returned to normal on day 10.No emergency abdominal complications occurred.Conclusions Laparoscopic surgery is safe,feasible and effective in the treatment of tubal interstitial pregnancy.It has an ideal prognosis and is worth popularizing.

关 键 词：腹腔镜技术 输卵管间质部妊娠 应用价值 

分 类 号：R713[医药卫生—妇产科学]