腹腔镜术后输卵管残端妊娠9例的临床分析  

Clinical Analysis of 9 Patients with Tubal Stump Pregnancy after Laparoscopic Surgery

作　　者：杨思丽 罗万训 王彬 Yang Sili;Luo Wanxun;Wang Bin(Department of Gynecology,The First People′s Hospital of Dali,Dali,Yunnan 671000,China;Department of Obstetrics,The First Affiliated Hospital of Dali University,Dali,Yunnan 671000,China)

机构地区：[1]大理市第一人民医院妇科,云南大理671000 [2]大理大学第一附属医院产科,云南大理671000

出　　处：《大理大学学报》2021年第4期56-58,共3页Journal of Dali University

摘　　要：目的:探讨腹腔镜术后输卵管残端妊娠的发病影响因素及预防措施。方法:回顾性分析在大理市第一人民医院行腹腔镜下输卵管切除术后残端妊娠9例的临床资料。结果:术后残端妊娠发生率为0.71%,首次手术行腹腔镜下输卵管残端血管结扎夹夹闭后切除4例(占44.44%),行腹腔镜下输卵管电切术3例(占33.34%),行腹腔镜下输卵管可吸收线套扎后切除2例(占22.22%),再次手术行腹腔镜下输卵管残端切除术或宫角缝合修补术。结论:腹腔镜术后输卵管残端妊娠的发生与手术方式密切相关,彻底切除输卵管残端是根本治疗方式,应积极改良手术方式,以减少重复性异位妊娠的发生。Objective:To explore the influencing factors and preventive measures of tubal stump pregnancy after laparoscopic surgery.Methods:The clinical data of 9 patients with residual pregnancy after laparoscopic salpingectomy were analyzed retrospectively.Results:The incidence rate of tubal stump pregnancy after surgery was 0.71%.In the first operation,4 patients underwent laparoscopic tubal stump vascular ligation and clipping,accounting for 44.44%,3 patients underwent salpingectomy,accounting for 33.34%,and 2 patients underwent salpingectomy with absorbable suture,accounting for 22.22%.In this operation,all patients underwent tubal stump resection or uterine angle suture repair of laparoscopic.Conclusion:The occurrence of tubal stump pregnancy after laparoscopic surgery is closely related to the operation mode.Complete resection of the fallopian tube stump is the fundamental treatment mode.It is necessary to improve the operation mode to reduce recurrent ectopic pregnancy.

关 键 词：输卵管切除术 输卵管残端妊娠 腹腔镜 异位妊娠 

分 类 号：R71[医药卫生—妇产科学]