摘要
目的:探讨腹腔镜诊治未破裂型输卵管间质部妊娠的可行性、安全性及疗效。方法:20例均在入院后1 h内完成术前准备,在全身麻醉下行腹腔镜探查术。结果:2例因既往有腹部手术史,腹腔内粘连较重,影响镜下操作,1例因术中出血较多而中转开腹;余17例均在腹腔镜下顺利完成,其中输卵管切开取胚术6例,输卵管切除术11例,平均出血120 m l,平均手术时间67 m in。结论:输卵管间质部妊娠可以在腹腔镜下完成,但要求手术者镜下操作技术娴熟,助手配合默契。
Objective： To approach the feasibility and security of diagnosing and treating nonrupture interstitial tubal pregnancy with laparoscope. Methods： Twenty cases were investigated. All the cases were prepared for operation in one hour after the patients were hospitalized and laparoscopy was adopted under general anesthesia. Results： Two eases could not be done smoothly with laparoscope, ix：cause the patients had the abdominal operation history and adhesion was serious in the abdominal cavity. One had to be changed to lsporotomy due to the hemorrhage. Seventeen were operated successfully with laparoscope. Among the successful cases, six were adopted salpingotomy , pulled embryos and then salpingoplasty, the others were used salpingectomy. The average hemorrhage is about 120ml and operation time is about 67 min. Conclusions： The operation of diagnosing and treating nonrupture interstial tubal pregnancy could be completed with laparoseope but it is necessary that operator must be skilled and assistants cooperated very well.
出处
《沈阳医学院学报》
2006年第1期25-26,共2页
Journal of Shenyang Medical College
关键词
腹腔镜
输卵管妊娠
间质部
laparoscope
tubal pregnancy
interstitial section
