垂体后叶素在腹腔镜子宫角部妊娠切开取胚术中的应用价值分析  

作　　者：熊夏思[1] 

机构地区：[1]江西省妇幼保健院妇科,江西330006

出　　处：《当代医学》2015年第18期73-74,共2页Contemporary Medicine

摘　　要：目的分析垂体后叶素在腹腔镜下子宫角部妊娠切开取胚术中的应用价值。方法选取未破裂型宫角部妊娠患者86例,随机分为实验组(n=44)和对照组(n=42),均行腹腔镜下宫角部妊娠切开取胚术。实验组在术前先将垂体后叶素6 U注射于子宫角部妊娠基底处做预处理,再行腹腔镜下子宫角部妊娠切开取胚术;对照组未做预处理。比较2组患者术中出血量、止血时间、手术时间、住院天数及血HCG下降程度。结果实验组患者术中出血量、手术时间明显低于对照组,差异有统计学意义(P<0.05);实验组血HCG下降程度与对照组比较,差异无统计学意义。结论腹腔镜子宫角部妊娠切开取胚术前使用垂体后叶素可明显减少术中出血量,缩短止血时间及手术时间,是安全、有效的止血方法,值得临床推广应用。Objective To investigate the value ofpituitrin in laproscopic opening-taking embryo operation on cornual pregnancy.Methods 86 patients,diagnosed corneal pregnancy who need laproscopic opening-taking embryo operation were randomLy divided into experimental and control group. The experimental group included 44 eases,were firstly injected six units pituitrin at the basal of corneal pregnancy, and then were clear the pregnancy;the control group,42 cases were only clear the pregnancy. All patients were requested to record the volume of bleeding,the operation time,the length of stay in houspital and the decreased blood HCG level. Results The volume of bleeding and the operation time ,the experital group was all lower than that in control group（P〈0.05）.There was not significantly difference in the length of stay in houspital and the extent of declined HCG.Conolusion In laproscopic opening-taking embryo operation on cornual pregnancy,the use of pituitrin significantly reduced the volume of blood loss and the suigery time.It was safe and effective which is worth a wide clinical application.

关 键 词：垂体后叶素 腹腔镜 子宫角部妊娠 切开取胚术 

分 类 号：R713.8[医药卫生—妇产科学]