中国微创外科杂志
中國微創外科雜誌
중국미창외과잡지
CHINESE JOURNAL OF MINIMALLY INVASIVE SURGERY
2014年
12期
1109-1111
,共3页
腹腔镜%输卵管间质部妊娠%保守性手术%输卵管通畅
腹腔鏡%輸卵管間質部妊娠%保守性手術%輸卵管通暢
복강경%수란관간질부임신%보수성수술%수란관통창
Laparoscope%Tubal interstitial pregnancy%Conservative surgery%Tubal patency
目的:探讨腹腔镜下输卵管间质部妊娠切开取胚保守性手术的安全性和可行性。方法2012年1月~2014年1月对24例输卵管间质部妊娠施行腹腔镜下输卵管间质部切开取胚保守性手术,在腹腔镜下纵行切开病灶隆起部位,取出孕囊及附属组织,可吸收线连续缝合切口。结果24例均在腹腔镜下完成手术。手术时间(33.5±6.2) min,术中出血量(40.6±9.4)ml。无持续性异位妊娠发生,血β-hCG恢复正常时间(14.2±4.6)d。22例术后输卵管造影显示:患侧输卵管通畅13例,通而不畅4例,不通5例。结论腹腔镜下输卵管间质部妊娠切开取胚保守性手术安全、可行,可部分保留输卵管的通畅性。
目的:探討腹腔鏡下輸卵管間質部妊娠切開取胚保守性手術的安全性和可行性。方法2012年1月~2014年1月對24例輸卵管間質部妊娠施行腹腔鏡下輸卵管間質部切開取胚保守性手術,在腹腔鏡下縱行切開病竈隆起部位,取齣孕囊及附屬組織,可吸收線連續縫閤切口。結果24例均在腹腔鏡下完成手術。手術時間(33.5±6.2) min,術中齣血量(40.6±9.4)ml。無持續性異位妊娠髮生,血β-hCG恢複正常時間(14.2±4.6)d。22例術後輸卵管造影顯示:患側輸卵管通暢13例,通而不暢4例,不通5例。結論腹腔鏡下輸卵管間質部妊娠切開取胚保守性手術安全、可行,可部分保留輸卵管的通暢性。
목적:탐토복강경하수란관간질부임신절개취배보수성수술적안전성화가행성。방법2012년1월~2014년1월대24례수란관간질부임신시행복강경하수란관간질부절개취배보수성수술,재복강경하종행절개병조륭기부위,취출잉낭급부속조직,가흡수선련속봉합절구。결과24례균재복강경하완성수술。수술시간(33.5±6.2) min,술중출혈량(40.6±9.4)ml。무지속성이위임신발생,혈β-hCG회복정상시간(14.2±4.6)d。22례술후수란관조영현시:환측수란관통창13례,통이불창4례,불통5례。결론복강경하수란관간질부임신절개취배보수성수술안전、가행,가부분보류수란관적통창성。
Objective To explore the safety and feasibility of conservative laparoscopic salpingotomy and embryo removal . Methods A total of 24 patients with tubal interstitial pregnancy underwent laparoscopic salpingotomy and embryo removal between January 2012 and January 2014.A longitudinal incision was made on the bulge lesions under laparoscope .The gestational sac and affiliated organizations were removed and the incision was continuously sutured with absorption threads .Results The operation was completed in all the 24 patients.The operation time was ( 33.5 ±6.2 ) min, and the blood loss was ( 40.6 ±9.4 ) ml.No postoperative persistent salpingocyesis occurred .The postoperative serum β-hCG recovery time was (14.2 ±4.6) d.Postoperative hysterosalpingography showed unobstructed fallopian tube in 13 patients, connected but not patent in 4 patients, and blocked in 5 patients. Conclusion Laparoscopic salpingotomy and embryo removal is safe and effective , with the patency of fallopian tube partly retained.