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目的评价腹腔镜在输卵管妊娠保守性手术治疗中的优点。方法对35例异位妊娠中行腹腔镜下输卵管切开取胚、挤胚和卵巢部分切除等手术方法。结果 35例异位妊娠中,输卵管壶腹部妊娠29例;输卵管峡部妊娠3例;卵巢妊娠1例;间质部妊娠2例,怕出血多行中转开腹。结论腹腔镜下手术治疗输卵管妊娠是首选手术方式,在保守性手术中选择性注射MTX可预防持续性异位妊娠(PEP)的发生。
Objective To evaluate the advantages of laparoscopy in conservative surgery for tubal pregnancy. Methods 35 cases of ectopic pregnancy underwent laparoscopic tubal surgery, embryo extrusion and partial ovarian resection and other surgical methods. Results 35 cases of ectopic pregnancy, tubal ampulla of 29 cases of pregnancy; tubal isthmus of 3 cases of pregnancy; ovarian pregnancy in 1 case; interstitial pregnancy in 2 cases, afraid of bleeding multi-line transit laparotomy. Conclusions Laparoscopic surgery for tubal pregnancy is the first choice for surgical treatment. The selective injection of MTX in conservative surgery can prevent the occurrence of persistent ectopic pregnancy (PEP).