CAJ | 학술논문

目的:探讨腹腔镜治疗休克型输卵管妊娠的可行性.方法:对48例休克型输卵管妊娠行腹腔镜下手术,无生育要求者行输卵管切除术,有生育要求者尽可能行保留输卵管手术.结果:48例患者均手术成功,成功率为100%,无一例中转开腹,1例患者因输液较快发生急性肺水肿,无其他并发症发生.结论:休克型输卵管妊娠不是腹腔镜手术的禁忌证,在排除其它禁忌证、备血、抗休克的同时行腹腔镜手术是安全和可行的,值得临床推广应用.
목적:탐토복강경치료휴극형수란관임신적가행성.방법:대48례휴극형수란관임신행복강경하수술,무생육요구자행수란관절제술,유생육요구자진가능행보류수란관수술.결과:48례환자균수술성공,성공솔위100%,무일례중전개복,1례환자인수액교쾌발생급성폐수종,무기타병발증발생.결론:휴극형수란관임신불시복강경수술적금기증,재배제기타금기증、비혈、항휴극적동시행복강경수술시안전화가행적,치득림상추엄응용.
Objective:To investigate the feasibility of laparoscopic treatment of shock type of tubal pregnancy.Methods:For 48 cases with shock type of tubal pregnancy in laparoscopic surgery,fertility requirements underwent salpingectomy,fertility requirements retain tubal surgery as much as possible.Results:All of 48 patients were successful surgery,the success rate was 100%,no one convert to open laparotomy,one patient occur acute pulmonary edema due to rapid infusion.No other complications occur.Conclusion:Shock type of tubal pregnancy is not a contraindication to laparoscopic surgery. Laparoscopic surgery is safe and feasible at the same time as exclusion of other contraindications,preparation of blood,anti-shock.It is worthy of clinical application.