腹腔镜保守治疗输卵管妊娠病理观察

发布时间：2018-03-23 05:03

本文选题：腹腔镜　切入点：妊娠　出处：《重庆医学》2015年03期 　论文类型：期刊论文

【摘要】：目的对输卵管妊娠患者的腹腔镜输卵管线性切开保守性手术治疗进行病理观察。方法选择2011年1月至2013年12月该院收治已完成生育的输卵管妊娠患者,行线性切开、取胚、止血后,取出样本送病理检查,再行输卵管切除。结果未电凝处输卵管的组织结构正常,电凝处上皮破坏,无正常组织结构。电凝处边缘细胞线粒体肿胀,线粒体嵴变短,稀疏甚至消失,部分线粒体空泡化,染色质边集,部分纤毛脱落,基底膜完整。结论对有生育要求的输卵管妊娠患者行腹腔镜输卵管线性切开保守性手术可提高术后生育机会。
[Abstract]:Objective to observe the pathological changes of patients with tubal pregnancy treated by laparoscopic linear oviductal incision and conservative operation. Methods from January 2011 to December 2013, patients with tubal pregnancy were treated in our hospital. After hemostasis, the samples were taken out and sent to pathological examination for salpingotomy. Results the tissue structure of the fallopian tube without electrocoagulation was normal, the epithelium of the electrocoagulation was destroyed, no normal tissue structure was found, and the mitochondria of the edge cells of the electrocoagulation became swollen, and the mitochondrial ridge became shorter. Sparsity or even disappearance, vacuolation of some mitochondria, condensation of chromatin, exfoliation of some cilia and integrity of basement membrane. Conclusion Laparoscopic linear salpingotomy and conservative surgery for tubal pregnancy with fertility requirements can improve the chance of postoperation.
【作者单位】：重庆市红十字会医院/江北区人民医院;
【基金】：重庆市卫生局科研项目(2011-2-426)
【分类号】：R714.22

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