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目的:分析腹腔镜下保守性手术治疗输卵管妊娠的疗效及临床应用价值。方法:对2009年1月～2011年12月就诊于本院妇产科的80例输卵管妊娠患者进行腹腔镜下输卵管开窗术及挤压法清除输卵管妊娠胚胎,患侧输卵管系膜下注射甲氨蝶呤(MTX)50mg及稀释垂体后叶素3IU。结果:80例输卵管妊娠患者腹腔镜下的保守手术均取得成功,均顺利保留了输卵管。无中转开腹的病例,术后未发现有并发症的患者,有2例发生持续性异位妊娠。手术所需时间为(52±14)min,手术过程中出血量(28±16)mL,术后住院天数平均5.5 d。术后输卵管通畅率达88.75%。结论:腹腔镜下行保守手术保留生育功能,手术所需时间短、术中出血量少,术后恢复快。
Objective: To analyze the efficacy and clinical value of laparoscopic conservative surgery for tubal pregnancy. Methods: From January 2009 to December 2011, 80 cases of tubal pregnancy treated in our department of obstetrics and gynecology were treated with laparoscopic salpingo-oophorectomy and squeezing to remove tubal pregnancy embryos and ipsilateral tubal injection Methotrexate (MTX) 50mg and diluted pituitrin 3IU. Results: 80 cases of tubal pregnancy patients underwent laparoscopic conservative surgery were successful, have successfully retained the fallopian tubes. No cases of conversion to laparotomy, no complications were found in patients after surgery, 2 cases of persistent ectopic pregnancy. The time required for the operation was (52 ± 14) min, the amount of bleeding during the operation was (28 ± 16) mL, and the number of postoperative hospital stays was 5.5 days. Postoperative tubal patency rate of 88.75%. Conclusion: Laparoscopic conservative surgery to retain reproductive function, the time required for surgery is short, less blood loss, postoperative recovery quickly.