腹腔镜下垂体后叶素联合病灶清除术与楔形切除术治疗输卵管间质部妊娠的临床研究

发布时间：2018-07-13 17:18

【摘要】：目的探讨腹腔镜下垂体后叶素联合病灶清除术与楔形切除术治疗输卵管间质部妊娠的临床效果。方法该院2011年1月-2013年6月输卵管间质部妊娠47例,根据患者的生育要求及术前血β-h CG情况选择手术方式。研究组(垂体后叶素联合病灶清除术)22例,腹腔镜下先在病灶周围注射垂体后叶素6 u加生理盐水10 ml,再切开病灶隆起部位,吸出孕囊及附属组织,可吸收线缝合切口;对照组(楔形切除术)25例,腹腔镜下楔形切除病灶,可吸收线缝合切口。观察手术时间、术中出血量、术后肛门排气时间、术后住院时间和术后血β-HCG值恢复正常时间。结果两组手术时间、术中出血量、术后肛门排气时间、术后住院时间和术后血β-HCG值恢复正常时间比较差异均无显著性(P0.05);两组均无1例持续性异位妊娠发生。结论腹腔镜下垂体后叶素联合病灶清除术治疗输卵管间质部妊娠在彻底清除妊娠病灶的同时,保留了患者子宫和输卵管的完整性,适用于有生育要求的年轻患者。
[Abstract]:Objective to investigate the clinical effect of laparoscopic posterior pituitary lobectomy combined with wedge resection in the treatment of tubal interstitial pregnancy. Methods 47 cases of tubal interstitial pregnancy from January 2011 to June 2013 were selected according to their fertility requirements and preoperative blood 尾 -hCG. In the study group (22 cases), hypophyllin 6 u and normal saline 10 ml were injected around the lesion under laparoscope, then the protuberance of the lesion was cut out, the pregnancy sac and its subsidiary tissue were sucked out, and the sutured incision was sutured with absorbable line. The control group (25 cases) underwent laparoscopic wedge resection with absorbable suture incision. The time of operation, the amount of blood lost during operation, the time of anal exhaust after operation, the time of hospitalization after operation and the recovery time of serum 尾 -HCG were observed. Results there was no significant difference in operation time, blood loss, postoperative anal exhaust time, postoperative hospitalization time and recovery time of serum 尾 -HCG between the two groups (P0.05), and there was no one case of persistent ectopic pregnancy in both groups. Conclusion Laparoscopic pituitrin combined with focal debridement in the treatment of tubal interstitial pregnancy not only completely clears the focus of pregnancy, but also preserves the integrity of uterus and fallopian tube, which is suitable for young patients with fertility requirements.
【作者单位】：河北省秦皇岛市妇幼保健院;
【分类号】：R713.8

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