CAJ | 학술논문

目的探讨环形加压缝合法在腹腔镜下治疗输卵管间质部妊娠中的价值.方法收集36例无生育要求的输卵管间质部妊娠患者的病历资料,于腹腔镜下应用环形加压缝合法切除患侧输卵管,残端注射甲氨蝶呤20 mg,分析术中、术后临床资料及妊娠结局.结果36例患者均在腹腔镜下顺利完成手术,其中包括8例妊娠病灶较大者(直径4~5 cm),术中平均出血量(36.3±6.8)mL,手术时间(45±11.2)min,术后住院时间(4.5±1.2)d,术后β-hCG转阴时间(15.3±1.8)d,无术中及术后并发症,无1例出现持续性异位妊娠.结论环形加压缝合法在腹腔镜下治疗输卵管间质部妊娠中是安全有效的,娴熟的腹腔镜操作技术及镜下缝合技术是顺利完成手术的保障.
목적탐토배형가압봉합법재복강경하치료수란관간질부임신중적개치.방법수집36례무생육요구적수란관간질부임신환자적병력자료,우복강경하응용배형가압봉합법절제환측수란관,잔단주사갑안접령20 mg,분석술중、술후림상자료급임신결국.결과36례환자균재복강경하순리완성수술,기중포괄8례임신병조교대자(직경4~5 cm),술중평균출혈량(36.3±6.8)mL,수술시간(45±11.2)min,술후주원시간(4.5±1.2)d,술후β-hCG전음시간(15.3±1.8)d,무술중급술후병발증,무1례출현지속성이위임신.결론배형가압봉합법재복강경하치료수란관간질부임신중시안전유효적,한숙적복강경조작기술급경하봉합기술시순리완성수술적보장.
@@@@Objective To study the value of using laparoscopic annular pressure suture method to treat interstitial tubal pregnancy. Methods Total 36 patients with interstitial tubal pregnancy were enrolled into this study. All the patients had not procreation desire. Laparoscopic annular pressure suture method was performed to resect the sick tubal. The methotrexate (MTX) was injected into the stump of the tubal after operation. The intraoperative, postoperative information and the pregnancy outcome were analyzed, totally. Results Laparoscopic salpingectomy was performed uneventfully in all the patients, including 8 cases with larger mass. The average amount of blood loss during operation was (36.3±6.8) mL. The operating time was (45±11.2) min. The postoperative hospitalization time was (4.5±1.2) d. The negitive time ofβ-hCG was (15.3±1.8) d. In all the patients, the operation was performed successfully without durative ectopic pregnancy. Conclusion Laparoscopic annular pressure suture method is an effective treatment for interstitial tubal pregnancy. It can be safely and effectively performed by experienced laparoscopy operators with suturing technology under laparoscopy.