CAJ | 학술논문

目的：通过临床分析研究腹腔镜下保守手术治疗输卵管妊娠并保留输卵管功能的方法及疗效。方法腹腔镜下输卵管妊娠病灶开窗清除术，再行输卵管成形术+通液术，术后第3、7 d复查血β-HCG，若2次值下降超过术前50%，可报出院，出院1 w后门诊复查血β-HCG，至血β-HCG正常二次则为保守手术成功，待术后月经来潮干净3~7 d内行输卵管通液术，根据通液情况决定行通液的疗程及其他综合治疗的时间。最后行输卵管造影术以了解输卵管通畅情况。结果110例经腹腔镜下保守手术治疗输卵管妊娠成功率为89.1%（103/110），另外7列配合米非司酮及中药治疗成功，总有效率为100%，术后输卵管造影通畅率96.3%（79/82），不通或积水率为3.7%（3/82）。结论腹腔镜下保守治疗输卵管妊娠效果肯定，输卵管再通率高，从而提高了妊娠率，减少远期并发症。
목적：통과림상분석연구복강경하보수수술치료수란관임신병보류수란관공능적방법급료효。방법복강경하수란관임신병조개창청제술，재행수란관성형술+통액술，술후제3、7 d복사혈β-HCG，약2차치하강초과술전50%，가보출원，출원1 w후문진복사혈β-HCG，지혈β-HCG정상이차칙위보수수술성공，대술후월경래조간정3~7 d내행수란관통액술，근거통액정황결정행통액적료정급기타종합치료적시간。최후행수란관조영술이료해수란관통창정황。결과110례경복강경하보수수술치료수란관임신성공솔위89.1%（103/110），령외7렬배합미비사동급중약치료성공，총유효솔위100%，술후수란관조영통창솔96.3%（79/82），불통혹적수솔위3.7%（3/82）。결론복강경하보수치료수란관임신효과긍정，수란관재통솔고，종이제고료임신솔，감소원기병발증。
Objective:the methodes and the therapeutic ef ection of the study of Lapraoscopic Oviduct-sparing operation in treatment of Ectopic pregnancy with clinic analysis. Methods:the first the Laparoscopic oviduct-sparing operation,then making the shape of tubal and hydrotubation,Last observe serum β-HCG in 3 days,Tdays aften operation. If the descreation of β-HCG to the preoperation is sucessful, So can go out hospital. After a week of going out hospital,going on observing β-HCG,it is sucessful that the data is nomal tiwce.Afer 3-7 days of menstruation,doing Hydrotubation can decide the Later time and method. Result:110case of the successful rate in Laparoscopic oviduct -sparing operation in treatment of Ectopic pregnancy is 89.1%(103/110),the 7 cases adding mifepriston and medicine is100%.The rate of shaping with Hysterography is 96.3%(79/82),the tube blockage is 3.7%(3/82). Conclusion It is potive the Laparoscopie oviduct-sparing operation in treatment of tubal pregnaney increase the rate of pregnancy,and recanalization rate of oviduct-sparing is higher,the distant hypertension.