[1]张晓燕,孙香兰①,孙宝峥①李英.腹腔镜手术联合吸宫术治疗输卵管间质部妊娠及子宫角妊娠[J].中国微创外科杂志,2009,09(7):618-622.
　Zhang Xiaoyan*,Sun Xianglan,Sun Baozheng,et al.Laparoscopy Combined with Uterine Aspiration for Tubal Interstitial Pregnancy and Cornual Pregnancy[J].Chinese Journal of Minimally Invasive Surgery,2009,09(7):618-622.
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腹腔镜手术联合吸宫术治疗输卵管间质部妊娠及子宫角妊娠()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
09
期数:
2009年7期
页码:
618-622
栏目:
出版日期:
2009-08-25

文章信息/Info

Title:
Laparoscopy Combined with Uterine Aspiration for Tubal Interstitial Pregnancy and Cornual Pregnancy
作者:
张晓燕; 孙香兰①; 孙宝峥①李英
南方医科大学江都医院妇产科，广州510450
Author(s):
Zhang Xiaoyan*;  Sun Xianglan;  Sun Baozheng; et al.
*Department of Obstetrics and Gynecology, Jiangdu Hospital, South Medical University, Guangzhou 510450, China
关键词:
腹腔镜手术; 输卵管间质部妊娠; 子宫角妊娠; 吸宫术
Keywords:
Laparoscopic surgery; Tubal interstitial pregnancy; Cornual pregnancy; Uterine aspiration
分类号:
R713.8
文献标志码:
A
摘要:
目的探讨腹腔镜手术联合吸宫术治疗输卵管间质部妊娠及子宫角妊娠的疗效。方法2004年1月~2007年1月对31例输卵管间质部妊娠和25例子宫角妊娠行腹腔镜下保守手术，切开取胚清除异位妊娠组织，常规联合吸宫术治疗。结果56例均在腹腔镜下完成手术，无中转开腹。1例持续异位妊娠，肌注MTX后治愈。患侧输卵管通畅率为339％（19/56），术后18个月宫内妊娠率71.4％（40/56），异位妊娠率16.1％（9/56），继发不孕率12%（7/56）。结论腹腔镜手术联合吸宫术治疗输卵管间质部妊娠及子宫角妊娠安全有效。
Abstract:
ObjectiveTo discuss the efficacy of laparoscopy combined with uterine aspiration for tubal interstitial pregnancy and cornual pregnancy. MethodsFrom January 2004 to January 2007, laparoscopy combined with the preservation of the oviducts was performed on 56 patients with tubal interstitial pregnancy or cornual pregnancy. During the operation, the ectopic pregnancy tissues were removed, and then uterine aspiration was carried out.ResultsThe operation was completed in all of the cases without conversion to open surgery. One of the patients showed persistent ectopic pregnancy, and was cured by muscular injection of MTX injection. In this series, the rate of oviduct patency was 33.9% (19/ 56); 18 moths after the operation, the uterine pregnancy rate was 714％ (40/56), ectopic pregnancy rate was 161％（9/56）， and the secondary infertility rate was 12% (7/56).ConclusionsIt is safe and effective to treat tubal interstitial pregnancy or cornual pregnancy with laparoscopic operation combined with uterine aspiration.

参考文献/References:

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备注/Memo

备注/Memo:
①（广州协佳泌尿科医院，广州510290）
更新日期/Last Update: 2013-09-17