腹腔镜治疗宫角妊娠11例临床分析  

Analysis of Laparoscopic Treatment of Corneal Pregnancy Based on 11 Clinical Cases

作　　者：林少环[1] 卢淮武[2] 周晖[2] 陆晓楣[2] 王丽娟[2] 

机构地区：[1]潮州市妇幼保健院妇科,广东潮州521000 [2]中山大学孙逸仙纪念医院妇科,广东广州510120

出　　处：《清远职业技术学院学报》2011年第3期15-17,共3页Journal of Qingyuan Polytechnic

摘　　要：目的:探讨腹腔镜手术在治疗宫角妊娠中的可行性和安全性。方法:选取2007年3月—2010年12月潮州市妇幼保键院收治的11例宫角妊娠的患者,平均妊娠周数为8±3周,均表现为腹痛与阴道流血,2例患者在腹腔镜术前血压不稳定,7例有宫外孕的高危因素,覻-HCG平均值为85142.12±253.53IU/L,3例行腹腔镜下切开取胚术,8例行腹腔镜下宫角锲型切除术。结果:仅有1例患者因出血多,止血困难中转开腹,其余10例均在腹腔镜下顺利完成手术,11例患者术后随访HCG,无持续性异位妊娠的发生。结论:腹腔镜治疗宫角妊娠安全可靠,大出血并非腹腔镜的绝对禁忌症,娴熟的腹腔镜手术技巧和缝合技术是手术成功的关键。Objective： to determine the feasibility and safety of laparoscopic management of corneal pregnancy. Method： Clinical data of patients of corneal pregnancy which treated in our hospital from March 2007 to Dec 2010 were analyzed retrospectively. Results： 11 patients were included in the study. The average gestation age was 8±3 weeks. All of them presented with abdominal pain and vaginal bleeding and 2 patients became haemodynamically unstable before laparoscopy. There were 7 patients with risk factors for ectopie pregnancy. The mean ？-HCG level was 85142.12±253.53 IU/L, 10 of the 11 patients were successfully operative laparoscopy as 1 patient had conversion to laparotomy because of significant hemorrhea. Among the patients who had laparoseopic surgery, cornuostomy was performed in 3 patients while cornual resection was performed in the other 7 patients. No persistent ectopic pregnancies were found in our study. Conclusion： In experienced hands, laparoscopy is a safe and effective treatment for corneal pregnancy, massive haemoperitoneum is not a contraindication to laparoseopie management of ectopie pregnancy. Improved laparoseopic technique, accumulated experience and skilled saturation are the keys of a successful operation.

关 键 词：宫角妊娠 腹腔镜 可行性 安全性 

分 类 号：R713[医药卫生—妇产科学]