Conservative surgery for tubal pregnancy analysis of 22 cases.docVIP

 PAGE \* MERGEFORMAT 6 Conservative surgery for tubal pregnancy analysis of 22 cases [Abstract] Objective: To evaluate the tubal pregnancy after conservative surgery in the clinical effectiveness of the treatment. Methods: 22 cases of tubal pregnancy, miscarriage patients conservative surgical treatment, after 3 months Hydrotubation. Results: 19 cases of tubal patency, two cases of obstruction, 1 case lost to follow. Conclusion: Conservative surgery of tubal pregnancy with the promotion of the value of the hospital at the grassroots level. [Keywords:] tubal pregnancy after conservative surgery Hydrotubation In recent years, the incidence of ectopic pregnancy on the rise, an increasingly younger age of the patient, increased the proportion of unwed pregnant. In our hospital since June 2004 ~ June 2008 were treated 206 cases of ectopic pregnancy, surgical treatment of 178 cases, of which 22 cases of patients of childbearing required conservative surgery, clinical follow-up effects by the good reports are summarized as follows . 1 Data and methods 1.1 General Information of this group of 22 patients aged 18 to 35 years, mean 22 years old. Menopause time amp;lt;40 d 4 Li, 40 ~ 60 d 15 Li,amp;gt; 60 d 3 Li. β  HCG 560 ~ 15 000 mIU / mL. 5 cases of pregnancy in which the isthmus, ampullary pregnancy in 16 cases, the umbrella Department of pregnancy in 1 case. Unruptured 20 cases (including abortion-type 16 patients), rupture of type 2 cases, damage diameter of 1 ~ 2 cm. Extent of the lesion ≤ 5 cm. Intra-abdominal hemorrhage 100 ~ 1500 mL. 1.2 Surgical Methods on the pubic symphysis 3 cm transverse skin incision 4 ~ 5 cm, layer by layer laparotomy, exploration of tubal pregnancy site, (1) tubal incision: a linear incision on the lesion at 2 ~ 3 cm [1  2] oval pliers or a small suction to remove pregnancy objects, actions should gentle electric coagulation to stop bleeding or bleeding site 0 / 7, suture ligation of bleeding vessels. (2) tubal anastomosis s