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目的探讨腹腔镜监视下处置早期宫角妊娠的优越性。方法对我院2000年1月至2005年12月6年间在腹腔镜下处置未破裂型早期宫角妊娠7例进行分析。结果6例患侧宫角肌层受损轻者在腹腔镜监视下行吸宫术,1例由于患侧宫角肌层受损严重,穿孔随时可能发生,故在腹腔镜下行患侧宫角切除术。术后监测血β-HCG均于1个月内降至正常。结论腹腔镜下处置早期宫角妊娠具有诊断明确、吸宫定位准确、成功率高的特点,对宫角肌层受损严重、有破裂可能者可在镜下进行宫角楔形切除。术中局部注射甲氨蝶呤20mg可预防持续性宫角妊娠的发生。
Objective To investigate the superiority of laparoscopic treatment of early pregnancy with uterine horn. Methods In our hospital from January 2000 to December 2005 6 years in the laparoscopic treatment of unruptured early pregnancy horn angle of 7 cases were analyzed. Results Six cases of myofascial myocutaneous lesions in 6 cases of mild injury in the laparoscopic down aspiration, 1 case of ipsilateral cavernous muscle damage, perforation may occur at any time, so I laparoscopic ipsilateral hysterectomy Surgery. Postoperative blood β-HCG were reduced to normal within 1 month. Conclusion Laparoscopic treatment of early pregnancy of the uterus has a clear diagnosis, accurate positioning of the uterus and high success rate of the myometrium damage, severe rupture of the palace may be undergone wedge resection. Intraoperative injection of methotrexate 20mg can prevent the occurrence of persistent pregnancy.