腹腔镜下输卵管切开取胚术联合垂体后叶素治疗输卵管妊娠患者55例临床分析  

Clinical analysis of salpingotomy taking extraction under laparoscope combined with pituitrin in the treatment of 55 tubal pregnancy patients

作　　者：张霞[1] 

机构地区：[1]河南省商丘市第一人民医院妇产科,476100

出　　处：《中国实用医药》2015年第2期17-18,共2页China Practical Medicine

摘　　要：目的 探讨腹腔镜下输卵管切开取胚术的临床价值及手术效果。方法 分析55例腹腔镜下输卵管切开取胚术联合垂体后叶素治疗的输卵管妊娠患者的临床资料。结果 所有病例手术顺利,无一例中转开腹,无手术并发症。手术时间35~70 min,平均手术时间40 min,术中出血量5~45 ml,平均出血量21 ml。随访2个月血β-HCG均转阴。55例病理结果均与术前诊断相符,即均为输卵管妊娠,要求生育者（40例）术后2个月行输卵管造影术,输卵管术后通畅率为90%（36/40）,术后1年发生患侧输卵管再次异位妊娠1例。结论 腹腔镜下输卵管切开取胚术对有生育要求的患者是一种安全有效的手术方式。Objective To explore the clinical value and surgery effect of salpingotomy taking extraction under laparoscope. Methods A clinical analysis was made on 55 tubal pregnancy cases, who reiceved salpingotomy taking extraction under laparoscope combined with pituitrin. Results All cases received successful surgery, and no case received laparotomy, and no complications occurred. The operation times were 35~70 rain, with the average operation time as 40 min. The intraoperative bleeding volumes were 5-45 ml, with the average volume of 21 ml. β-HCG turned into negative within 2 month after follow-up. The pathologic results of all the cases were corresponding with those before treatment, as tubal pregnancy. The fertility required patients （40 cases） received salpingography in 2 months after surgery. The rate of unobstructed uterine tube was 90% （36/40）. There was 1 case with ectopic pregnancy oviductus in 1 year of surgery. Conclusion Salpingotomy taking extraction under laparoscope is a safe and effective surgery for patients who requires fertility.

关 键 词：腹腔镜 垂体后叶素 输卵管妊娠 输卵管切开取胚术 

分 类 号：R714.22[医药卫生—妇产科学]