CAJ | 학술논문

目的：探讨行辅助生育技术后异位妊娠腹腔镜手术的特点，为治疗辅助生育技术后异位妊娠提供参考。方法回顾性分析腹腔镜手术治疗辅助生育技术后异位妊娠48例患者的临床资料。结果48例患者均顺利完成腹腔镜手术，无中转开腹，术后无明显并发症。行输卵管保守性手术12例（25．0％），输卵管切除术36例（75．0％）。输卵管妊娠48例，其中间质部妊娠8例（16．7％），峡部妊娠8例（16．7％），壶腹部妊娠28例（58．2％），伞部妊娠2例（4．2％），宫角妊娠2例（4．2％）。48例患者均有不同程度盆腔粘连，合并卵巢过度刺激综合征6例（12．5％）。结论既往盆腔炎病史、输卵管手术史是发生辅助生育技术后异位妊娠的易发因素。输卵管间质部妊娠发生率高，盆腔不同程度粘连，合并卵巢过度刺激综合征，宫内宫外同时妊娠为辅助生育技术后异位妊娠的特殊类型。
목적：탐토행보조생육기술후이위임신복강경수술적특점，위치료보조생육기술후이위임신제공삼고。방법회고성분석복강경수술치료보조생육기술후이위임신48례환자적림상자료。결과48례환자균순리완성복강경수술，무중전개복，술후무명현병발증。행수란관보수성수술12례（25．0％），수란관절제술36례（75．0％）。수란관임신48례，기중간질부임신8례（16．7％），협부임신8례（16．7％），호복부임신28례（58．2％），산부임신2례（4．2％），궁각임신2례（4．2％）。48례환자균유불동정도분강점련，합병란소과도자격종합정6례（12．5％）。결론기왕분강염병사、수란관수술사시발생보조생육기술후이위임신적역발인소。수란관간질부임신발생솔고，분강불동정도점련，합병란소과도자격종합정，궁내궁외동시임신위보조생육기술후이위임신적특수류형。
Objective To explore the characteristics of laparoscopic surgery for the treatment of ectopic pregnancy following assisted reproductive techniques,and to provide the reference for the trentment of the desease.Methods A clinical data of 48 patients with ectopic pregnancy following assisted reproductive techniques who underwent laparoscopic surgery were retrospectively analyzed .Results Forty-eight cases underwent laparoscopic surgery successfully ,no case conversed to laparotomy,no postoperative complications .Twelve cases (25.0%) underwent salpingotomy ,and 36 cases (75.0%) underwent salpingectomy.There were 48 cases of tubal pregnancy including 8 cases(16.7%) of interstitial tubal pregnancy, 8 cases(16.7%) of isthmus pregnancy,28 cases(58.2%) of ampullary pregnancy,2 cases(4.2%) of umbrella pregnancy, and 2 cases(4.2%) of cornual pregnancy.There were 48 cases of pelvic adhesions,6 cases(12.5%) complicated with ovarian hyperstimulation syndrome .Conclusion The history of pelvic inflammatory disease and history of tubal operations are common factors for ectopic pregnancy following assisted reproductive techniques .Ectopic pregnancy following assisted reproductive techniques particularly presents as a high incidence of interstitial tubal pregnancy ,pelvic adhesions, ovarian hyperstimulation syndrome and heterotopic pregnancy .