腹腔镜下保守性手术治疗输卵管妊娠的临床价值  

Clinical Analysis on Surgical Treatment for Oviductal Pregnancy by Abdominoscope

作　　者：侯秀红[1] 程志霞[1] 高鲜花[1] 李芳[1] 李昕[1] 王晓红[1] 

机构地区：[1]西安市红十字会医院妇产科,710054

出　　处：《美中国际创伤杂志》2012年第3期19-21,共3页U.S.Chinese International Journal of Traumatology

摘　　要：目的：探讨腹腔镜下保守性手术治疗输卵管妊娠的临床价值。方法：将116例输卵管妊娠患者分为两组，观察组58例行腹腔镜下保留输卵管手术，术中患侧输卵管注射甲氨蝶呤25mg。对照组58例行腹腔镜下输卵管切除术，比较术后持续性异位妊娠发生率、再次异位妊娠发生率和宫内妊娠率。结果：术后2年内观察组宫内妊娠率23例（60．53％），对照组宫内妊娠率13例（34．5％），两组比较差异有统计学意义。再次异位妊娠发生率观察组9例（23．68％），对照组7例（18．92％），两组比较差异无统计学意义。结论：腹腔镜下保守性治疗输卵管妊娠安全、有效、宫内妊娠率高，不增加持续性宫外孕及再次异位妊娠发生的风险。Objective： To explore the value of surgical treatment for oviductal pregnancy by abdominoscope. Methods： 116 patients with tubal pregnancy were divided into two groups： observation group and control group, 58 cases in each group. Methylaminopterin 25mg was injected into the affected fallopian tube for pa- tients in observation group, and salpingectomy was carried out on patients in control group. The incidence rates of postoperative persistent eccyesis and re-eecyesis as well as intrauterine pregnancy were compared between two groups. Results： All cases were followed up for 2 years and the result was analyzed. Patients in observation group and control group, the rate of intrauterine pregnancy was 60.53% （23 cases） and 34.5% （13 cases） respectively with a significant difference between two groups （P〈0.05）, and the incidence rate of re-eccyesis was 23.68% （9 cases） and 18.92% （7 cases） respectively without any significant difference be- tween two groups （P〉0.05）. Conclusion： Surgical treatment with oviduct remaining for oviductal pregnancy by abdominoseope is safe and effective, with a high rate of intrauterine pregnancy, and also do not increase the risk of persistent ectopic pregnancy and re-eceyesis occurrence.

关 键 词：腹腔镜 输卵管妊娠 保守手术 

分 类 号：R714.221[医药卫生—妇产科学]