腹腔镜下改良水压分离法治疗输卵管妊娠的临床研究

Clinical analysis of modified pressure separation in conservative operation via laparoscope for tubal pregnancy

摘要:

目的 探讨在腹腔镜下行输卵管妊娠保守性手术中应用改良式水压分离妊娠组织对保留输卵管的意义。方法 回顾性分析2010年1月-2013年1月在因输卵管妊娠在我院行腹腔镜下输卵管保守性手术的患者120例，按手术方法不同分为两组：观察组73例，术中注射垂体后叶素并应用改良式水压分离法分离妊娠组织；对照组47例，注射垂体后叶素，术中电钩打开妊娠部位后直接钳出妊娠组织，对比两组间手术时间、术中出血量、术后持续性宫外孕发生率及术后输卵管通畅情况。结果 120例患者均在腹腔镜下完成手术，观察组手术时间明显短于对照组，术中出血量明显少于对照组，差异有显著性，术后持续性宫外孕发生率无显著差异，术后输卵管通畅情况明显高于对照组。结论 腹腔镜下应用改良式水压分离输卵管妊娠组织可能对完整地清除妊娠病灶，减少术中出血及输卵管的损伤，提高术后输卵管通畅率有一定的帮助。

Abstract:

【Objective】 To discuss the significance of modified pressure separation used in tubal embryo transfer via laparoscope. 【Methods】 120 tubal pregnancy patients who accepted conservative operation via laparoscope were retrospectively analyzed.These patients were divided into observation group (n =73) and control group (n =47) according to different methods of operation. Operation time, the amount of bleeding, incidence of PEP and fallopian tubal patency were observed. 【Results】 Operation time, the amount of bleeding in observation group were obvious lower than the control group, whereas fallopian tubal patency was obvious higher and the incidence of PEP had no obvious difference. 【Conclusion】 Modified pressure separation in conservative operation via laparoscope for tubal pregnancy can remove the lesions better and reduce the amount of bleeding, then increase patency of fallopian tube.