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目的探讨腹腔镜下治疗间质部妊娠的临床应用价值,寻找一个既能完全切除病灶,又简单易掌握的手术方法。方法对21例因输卵管间质部妊娠于天津市塘沽区妇幼保健院行腹腔镜手术的患者资料进行回顾性分析。结果 21例均于腹腔镜下顺利完成手术,无一例中转开腹,手术时间短,术中出血少,术后持续性异位妊娠发生率低。结论腹腔镜治疗输卵管间质部妊娠安全、可行,其中套扎法易于掌握,可作为输卵管间质部妊娠的首选治疗方法。
Objective To explore the clinical value of laparoscopic treatment of interstitial pregnancy, looking for a surgical method that can completely remove the lesion and is easy to grasp. Methods A retrospective analysis was performed on the data of 21 patients who underwent laparoscopic surgery due to tubal pregnancy in Tianjin Maternal and Child Health Hospital of Tanggu District. Results All the 21 cases underwent laparoscopic surgery successfully. None of them were converted to laparotomy. The operation time was short, the intraoperative bleeding was low and the incidence of persistent ectopic pregnancy was low. Conclusion Laparoscopic treatment of tubal interstitial pregnancy is safe and feasible, in which the ligation method is easy to grasp, can be used as tubal interstitial pregnancy preferred treatment.