摘要
目的:探讨输卵管妊娠时三种保留输卵管手术对术后输卵管功能恢复的影响。方法:在28例剖腹直视下保留输卵管手术中按输卵管妊娠发生的部位、类型(破裂或流产),分别采用输卵管端-端吻合术、输卵管开窗术、胚胎清除+输卵管成形术三种术式。术后6d开始行输卵管通液治疗,术后1月月经干净3～7d行输卵管通液检查,观察输卵管通畅度。结果:三种术式术后输卵管通畅率均为100%,三者无明显差异。结论:三种术式对术后1月输卵管通畅率影响无显著差异,基层医院剖腹手术仍是治疗异位妊娠的主要手段。
Objective：To investigate the clinical effects of the three surgical approaches to conservative treatment of fallopian tube pregnancy on functional recovery of the oviduct.Methods：We performed different operation on 28 patients of ectopic pregnancy concerning the situs and type with options of tubal end to end anastomosis,oviduct fenestration and embryo plus salpingoplasty.The patients received hydrotubation therapy six days after surgery and were examined one month after the procedure by the end of the 3rd to 7th day of monthly period for openness of the fallopian tube by hydrotubation.Results：Total tubal patency was found in the patients with different procedure,with no differences.Conclusion：The findings showed no difference regarding surgical options,suggesting that laparotomy should be common practice in treatment of ectopic pregnancy in community-based hospitals.
出处
《皖南医学院学报》
CAS
2010年第6期435-436,共2页
Journal of Wannan Medical College
关键词
输卵管
异位妊娠
输卵管通畅率
oviduct
ectopic pregnancy
patency rate of oviduct
