摘要
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20mg,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4～5cm),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。
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 of β-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.
出处
《当代医学》
2013年第9期32-33,共2页
Contemporary Medicine
关键词
腹腔镜
环形加压缝合法
输卵管间质部妊娠
Laparoscopy
Annular pressure suture method
Interstitial tubal pregnancy
