腹腔镜联合甲氨蝶呤治疗输卵管间质部妊娠破裂型38例疗效分析  

Analysis on the curative effect of laparoscopy combined with methotrexate in treatment of 38 patients with ruptured interstitial tubal pregnancy

作　　者：魏璐华[1] 罗艳[1] 戴峻[1] 陈艳芬[1] 

机构地区：[1]遵义医学院第五附属(珠海)医院妇产科

出　　处：《中国妇幼保健》2013年第35期5847-5848,共2页Maternal and Child Health Care of China

摘　　要：目的：探讨分析腹腔镜手术联合甲氨蝶呤治疗输卵管间质部妊娠破裂型的疗效及安全性、可行性。方法：回顾性分析2008年1月-2013年6月38例腹腔镜联合甲氨蝶呤治疗输卵管间质部妊娠破裂型患者的手术方式、手术时机、术中术后并发症。结果：38例全部在腹腔镜下完成，平均手术时间（50±7）min，平均术中出血量（50．2±7．8）ml，术后肠道恢复平均时间（20．5±4．8）h，术后平均（14．1±2．9）天血β—HCG恢复正常，无1例持续性异位妊娠发生。结论：在有效抢救条件下腹腔镜联合甲氨蝶呤治疗输卵管间质部妊娠破裂型的方法是安全可行的。Objective： To explore and analyze the curative, safety, and feasibility of laparoscopic surgery combined with metho- trexate in treatment of ruptured interstitial tubal pregnancy. Methods： The surgical methods, operation opportunities, intraoperative and postoperative complications of 38 patients with ruptured interstitial tubal pregnancy treated with laparoscopic surgery combined with metho- trexate from January 2008 to June 2013 were analyzed retrospectively. Results： Laparoscopic surgery was completed successfully in the 38 patients, the mean operation time was （50 ± 7） minutes, the mean amount of intraoperative bleeding was （50. 2 ± 7.8） ml, the mean time for intestinal recovery after operation was （20. 5 ± 4. 8） hours, the mean time for blood β - HCG level return to normal after operation was （14. 1 ± 2.9） days, no persistent ectopic pregnancy occurred. Conclusion： Under the condition of effective rescue, laparoscopic surgery combined with methotrexate in treatment of ruptured interstitial tubal pregnancy is safe and feasible.

关 键 词：腹腔镜 甲氨蝶呤 输卵管间质部妊娠 

分 类 号：R714.22[医药卫生—妇产科学]