腹腔镜在宫内外复合妊娠治疗中的价值(附12例病例分析)  

Research on the Value of Laparoscope for Heterotopic Pregnancy Treatment

作　　者：刘瓅[1] 刘芬[1] 刘娟[1] 肖雪[1] 

机构地区：[1]广州医学院第三附属医院妇产科,广东广州510000

出　　处：《黑龙江医学》2012年第7期517-519,共3页Heilongjiang Medical Journal

摘　　要：目的探讨体外受精-胚胎移植术后宫内宫外妊娠发生的高危因素及腹腔镜在该疾病早期诊治中的价值。方法对我院生殖中心2004-06～2010-06间,接受体外受精-胚胎移植术后宫内宫外妊娠临床资料进行回顾性分析。结果 736例临床妊娠中,宫内外妊娠12例,发生率为1.63%。12例HP患者接受腹腔镜手术,术后11例继续妊娠,妊娠至足月为91.67%。结论辅助生殖技术的广泛开展,是宫内宫外妊娠的发生率升高的重要原因之一。HP的临床处理以手术治疗为主,与传统开腹手术相比较,腹腔镜在诊断和治疗方面有不可替代的优势。Objective To discuss the high risk factor of heterotopic pregnancy （HP） after IVF - ET and the value of laparoscopes in the early diagnosis and treatment of HP. Methods The clinical data of heterotopic pregnancy （HP） after IVF - ET in reproduction center of my hospital from June 2004 to June 2010 ,sere retrospectively analyzed. Results There were 12 cases of heterotopic pregnancy （HP） in 736 cases of clinical pregnancy. The incidence rate of heterotopic pregnancy （HP） was 1.63%. 12 cases were randomly divided into control group and treatment group. The control group was given traditional open surgery, treatment group was given laparoscope surgery. After operations 11 eases continue to the pregnancy. The rate of continuing pregnancy was 91.67%. Conclusion The development of Assisted reproduction tectology is one of significant reasons for the increased rate of heterotopic pregnancy （HP）. The early diagnosis of HP is very difficult. Comparing with Lraditional open surgery, laparoscopes diagnose has an irreplaceable advantage in the early diagnosis and treatment of HP.

关 键 词：宫内外复合妊娠 体外受精-胚胎移植 开腹手术 腹腔镜 

分 类 号：R714.22[医药卫生—妇产科学]