摘要
目的 探讨腹腔镜下对有生育要求的异位妊娠患者进行保留及恢复生育功能的处理方法及原则。方法 回顾性分析 82例有生育要求的异位妊娠患者应用腹腔镜技术治疗的盆腔状态以及手术方式的选择。结果 ①对侧输卵管情况 :对侧输卵管通畅者 6 5 9% (5 4 / 82 ) ;不通畅者 2 9 3% (2 4 / 82 ) ;对侧输卵管缺如者4 9% (4 / 82 ) ;②盆腔炎性粘连情况 :盆腔不同程度粘连者占 6 4 6 % (5 3/ 82 ) ;③子宫内膜异位症发生率情况 :近 9个月观察的 2 9例患者中 ,6 2 1 % (1 8/ 2 9)合并子宫内膜异位症。其中 83 3% (1 5 / 1 8)为Ⅰ期 ;1 6 7% (3/1 8)为Ⅱ期 (修正的AFS分期 ) ;④手术方式的选择 :5 6例 (6 8 3% )保留患侧输卵管 ,2 6例 (31 7% )行患侧输卵管切除术。结论 异位妊娠的盆腔状态异常率 6 8 3% (5 6 / 82 ) ,合并炎症粘连和 /或子宫内膜异位症 ;治疗有生育要求的异位妊娠患者时 ,应注意评估患者的潜在生殖能力 ,尽量解除不孕的隐患 ,保留和恢复其生殖功能。
Objective To investigate the treatment of ectopic pregnancy patients who wish to conceive again by use of laparoscopy. Methods Pelvic conditions and operations of options 82 cases with ectopic pregnancy who wish to conceive again were analysed retrospectively during laparoscopic surgery.Results ① The contralateral tube conditions: the patent tubes were 65 9%, the blocked tubes were 29 3%, and the absent tubes were 4 9%.② The pelvic adhesion conditions: there were 64 6% patients with all kinds of adhesion. ③ The endometriosis ocurrence rate is 62 1%(18/29).④ Type of the surgery: 56 patients(68 3%) underwent salpingotomy and 26 patients (31 7%) underwent salpingectomy. Conclusions The pelvic abnormal conditions of ectopic pregnancy was 68 3%(56/82), including inflammation and/or endometriosis. Laparoscopy is the best treatment of ectopic pregnancy,and it was suggested to evaluate the reproductive potential of those patients, try to relieve the hidden trouble of infertility. and pay attention to preserving fertility especially to those attempted to conceive again.
出处
《中国妇产科临床杂志》
2004年第1期27-29,共3页
Chinese Journal of Clinical Obstetrics and Gynecology
