CAJ | 학술논문

目的：探讨腹腔镜手术在治疗宫角妊娠中的可行性和安全性。方法：选取2007年3月-2010年12月潮州市妇幼保键院收治的11例宫角妊娠的患者，平均妊娠周数为8±3周，均表现为腹痛与阴道流血，2例患者在腹腔镜术前血压不稳定，7例有宫外孕的高危因素，B-HCG平均值为85142．12±253．53IU／L，3例行腹腔镜下切开取胚术，8例行腹腔镜下宫角锲型切除术。结果：仅有1例患者因出血多，止血困难中转开腹，其余10例均在腹腔镜下顺利完成手术，11例患者术后随访HCG，无持续性异位妊娠的发生。结论：腹腔镜治疗宫角妊娠安全可靠，大出血并非腹腔镜的绝对禁忌症，娴熟的腹腔镜手术技巧和缝合技术是手术成功的关键。
목적：탐토복강경수술재치료궁각임신중적가행성화안전성。방법：선취2007년3월-2010년12월조주시부유보건원수치적11례궁각임신적환자，평균임신주수위8±3주，균표현위복통여음도류혈，2례환자재복강경술전혈압불은정，7례유궁외잉적고위인소，B-HCG평균치위85142．12±253．53IU／L，3례행복강경하절개취배술，8례행복강경하궁각계형절제술。결과：부유1례환자인출혈다，지혈곤난중전개복，기여10례균재복강경하순리완성수술，11례환자술후수방HCG，무지속성이위임신적발생。결론：복강경치료궁각임신안전가고，대출혈병비복강경적절대금기증，한숙적복강경수술기교화봉합기술시수술성공적관건。
Objective： to determine the feasibility and safety of laparoscopic management of corneal pregnancy. Method： Clinical data of patients of corneal pregnancy which treated in our hospital from March 2007 to Dec 2010 were analyzed retrospectively. Results： 11 patients were included in the study. The average gestation age was 8±3 weeks. All of them presented with abdominal pain and vaginal bleeding and 2 patients became haemodynamically unstable before laparoscopy. There were 7 patients with risk factors for ectopie pregnancy. The mean ？-HCG level was 85142.12±253.53 IU/L, 10 of the 11 patients were successfully operative laparoscopy as 1 patient had conversion to laparotomy because of significant hemorrhea. Among the patients who had laparoseopic surgery, cornuostomy was performed in 3 patients while cornual resection was performed in the other 7 patients. No persistent ectopic pregnancies were found in our study. Conclusion： In experienced hands, laparoscopy is a safe and effective treatment for corneal pregnancy, massive haemoperitoneum is not a contraindication to laparoseopie management of ectopie pregnancy. Improved laparoseopic technique, accumulated experience and skilled saturation are the keys of a successful operation.