腹腔镜治疗早期未破裂输卵管妊娠的临床分析  

Clinical Analysis of Laparoscopic Therapy for the Early Stage of Non-ruptured Tubal Pregnancy

作　　者：翁秀琴 鲍云云 

机构地区：温州医学院附属第三医院，浙江温州325200

出　　处：《医学临床研究》2002年第3期190-191,共2页Journal of Clinical Research

摘　　要：[目的]研究早期未破裂输卵管妊娠在腹腔镜下的手术方法。[方法]对53例早期未破裂输卵管妊娠患者，采用腹腔镜下输卵管切除术，输卵管开窗术，输卵管伞部孕物清除术及甲氨喋呤病灶注射术，[结果]除1例患者持续性异位妊娠，1例行输卵管切除术，余51例均手术成功，术后8-9d测血β-HCG均降至正常，术后1-3个月行输卵管通液术，输卵管通畅43例，占81.7%，随访2年，宫内孕35例，占66%，[结论]腹腔镜下保守性手术治疗早期未破裂输卵管妊娠是保持患者生育能力的最佳方法。ObjectivesTo study laparoscopic therapy for the early stage of non-ruptured tubal pregnancy.MethodsFifty-three cases of early non-ruptured tubal pregnancy were treated by laparoscopic tubal resection, linear salpingostomy, tubal abortion and local injection of methotrexate (MTX). ResultsOperation was successful in fifty-one cases, with β HCG falling to normal level after 8-9 days. Atopic pregnancy persisted in one case, fallopian tube was resected in another. Liquid perfusion test showed that tubes were patent in 43 cases (81.7%) 1～3 months after operation. Thirty-five cases (66%) were pregnant in womb after follow-up for two years.Conclusion Conservative laparoscopic treatment for early stage of non-ruptured tubal pregnancy is the best measure to keep birth ability.

关 键 词：腹腔镜 治疗 输卵管妊娠 临床分析 

分 类 号：R714.221[医药卫生—妇产科学]