垂体后叶素在腹腔镜输卵管切开取胚术中止血作用探究.docVIP

垂体后叶素在腹腔镜输卵管切开取胚术中止血作用探究[摘要] 目的:探讨垂体后叶素在腹腔镜输卵管妊娠切开取胚术中的止血作用及应用价值。方法:将2008年1月～2009年12月我院妇科未破裂型输卵管妊娠60例患者行腹腔镜输卵管切开取胚术,随机分为两组,在输卵管切开取胚术中应用垂体后叶素为观察组(32例),在输卵管切开取胚术中不应用垂体后叶素为对照组(28例),比较两组在术中出血量、手术时间、术后最高体温及术后并发症等。结果:观察组术中出血量和手术时间明显少于对照组(P0.05)。使用垂体后叶素无不良反应发生。结论:在腹腔镜下行输卵管切开取胚术中应用垂体后叶素,能减少术中出血,缩短手术时间。 [关键词] 腹腔镜;异位妊娠;输卵管切开;垂体后叶素;止血 [中图分类号] R713.5[文献标识码]A [文章编号]1673-7210(2010)04(c)-047-02 The hemostatic effects of hypophysin in tubal embryo fetching under laparoscopic surgery JIN Jianxin, LONG Quansheng (Huicheng Hospital of Jiangmen City, Jiangmen529100, China) [Abstract] Objective: To evaluate the hemostasis effect of hypophysin in tubal embryo fetching under laparoscopic salpingotomy in oviductive pregnancy. Methods: From January 2008 to December 2009, 60 cases of unruptured oviductive pregnancy undergoing laparoscopic salpingotomy were divided into observation group (32 cases) and control group (28 cases). The observation group was received prophylactic dilute Hypophysin Injection in the mesosalpinx, the control group did not receive vasopressin. The duration of operation, intraoperative blood loss, complications of persistent ectopic pregnancy and postoperative highest temperature were compared. Results: The duration of operation and the intraoperative blood loss in the observation group were significantly less than the control group (P0.05). No side effect happened with hypophysin use in this study. Conclusion: The duration of operation, interoperative bleeding can be reduced by the use of hypophysin during laparoscopic salpingotomy. The method is safe and feasible during laparoscopic salpingotomy for oviductive pregnancy. [Key words] Laparoscopy; Ectopic pregnancy; Salpingotomy; Hypophysin; Hemostasis 异位妊娠是妇科常见的急腹症,发病率高,占妊娠总数的2%,且大多数为育龄妇女,有时因出血多,会危及生命,而反复多次异位妊娠,严重影响患者的生育能力。异位妊娠大多需手术治疗,传统开腹手术创面大,出血多,患者恢复不好常影响以后生育。随着腹腔镜在妇科领域的开展,很多异位妊娠均采用腹腔镜手术,目前在手术方式上有腹腔镜下输卵管切开取胚术,这种保守手术对有生育要求的患者而言,意义重大[1]。传统方式为直接切开输卵管取胚,术中出血多,且止血困难,甚至需切除输卵管,影响愈后及保守手术成功率。我院2008年1