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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:

04

期数:

2004年6期

页码:

500-501

栏目:

出版日期:

2004-06-30

文章信息/Info

Title:

Laparoscopic tube sparing operation for tubal ectopic pregnancy: Report of 56 cases

作者:

刘正蓉　 杨淑华①　 高华

北京航空工业中心医院妇产科,北京,100012

Author(s):

Liu Zhengrong*;  YangShuhua;  GaoHua*

Department ofGynecology&Obstetrics, BeijingAviation Industry CentralHospital, Beijing100012, China

关键词:

输卵管妊娠;  腹腔镜;  手术

Keywords:

Tubal pregnancy; 　Laparoscopy; 　Surgery

分类号:

R713.8

文献标志码:

A

摘要:

目的探讨腹腔镜保留输卵管手术治疗输卵管妊娠的效果.方法回顾性分析56例腹腔镜保守治疗输卵管妊娠的临床资料.结果 8例因创面出血经电凝止血无效而行输卵管切除术,余48例保留输卵管成功,其中3例因持续性宫外孕行MTX治疗一疗程.术后1～2个月47例保留输卵管成功者行输卵管碘油造影,患侧通畅36例,通而不畅8例,不通3例;对侧(3例已手术切除)通畅34例,通而不畅7例,不通3例.结论腹腔镜保留输卵管手术治疗输卵管妊娠在适宜条件下疗效确定.

Abstract:

Objective　To investigate the effects of laparoscopic tube sparing operation in the treatment of tubal ectopic pregnancy.　 Methods　Clinical data of 56 cases of tubal pregnancy undergoing laparoscopic conservative treatmentwere retrospectively reviewed.　Results 　Salpingectomy was required in 8 cases because the electrocoagulation had proven ineffective for the bleeding of operated area, whereas the tube sparing surgery was accomplished successfully in the remaining 48 cases, in 3 ofwhich one treatment course ofMTXwas administered on account of recurrent episodes. Hysterosalpingography with iodized oil at 1~2 postoperative months in 47 cases receiving conservative surgical treatment revealed that, the involved oviductwas patent in 36 cases, unobstructed but not patent in 8 cases, and obstructed in 3 cases, while the contralateral oviduct (which had been previously resected in 3 cases) was patent in 34 cases, unobstructed but not patent in 7, and obstructed in 3.　Conclusions　Under proper conditions, laparoscopic tube sparing operation is effective in the treatment of tubal ectopic pregnancy.

备注/Memo

备注/Memo:

①（北京新景安太妇产医院,北京,100028）

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更新日期/Last Update: 2014-06-09