腹腔镜下输卵管切开取胚术治疗输卵管壶腹部妊娠82例分析.docVIP

精品论文 参考文献 腹腔镜下输卵管切开取胚术治疗输卵管壶腹部妊娠82例分析 赵富鲜 周萍 袁英 杨泽星 （云南省第二人民医院 云南昆明 650021） 【摘要】目的 分析腹腔镜下输卵管切开取胚术治疗输卵管壶腹部妊娠术后患侧输卵管通畅情况，探讨如何提高术后输卵管通畅率。方法 2008年11月-2010年12月经腹腔镜检查确诊为输卵管壶腹部妊娠且未破裂未流产82例，行输卵管切开取胚术，于术前根据血beta;人绒毛膜促性腺激素（human chorionic gonadotropin,HCG）值分为两组，A组术前血beta;-HCG＜1200IU/L，B组术前血beta;-HCGge;1200IU/L，比较两组术中出血量、手术时间及术后患侧输卵管通畅率。结果 82例患者，切开取胚术失败改行患侧输卵管切除术6例，均为B组患者；通畅58例，总通畅率76.32%；A组47例，通畅44例，通畅率93.62%，B组35例，取胚术失败改行切除术6例，通畅14例，通畅率48.28%。术中出血量A组（18.46plusmn;8.32ml）与B组（105.76plusmn;45.20ml）、手术时间A组（38.32plusmn;10.25分钟）与B组（78.55plusmn;20.42分钟）及术后患侧输卵管通畅率A组93.62%与B组48.28%比较，差异均有显著性（P＜0.01）。结论 腹腔镜输卵管切开取胚术保留输卵管功能具有优势，术前血beta;-HCG值＜1200IU/L者术后 输卵管通畅率高。 【关键词】 腹腔镜 输卵管壶腹部妊娠 输卵管切开取胚术 【中图分类号】R713 【文献标识码】A 【文章编号】2095-1752（2013）30-0119-02 Analysis on treatment 82 cases with tubal ampullary pregnancy performed by laparoscopic tubal embryo surgery incision ZHAO Fu-xian , ZHOU Ping , YUAN Ying， YANG Ze-xing (Department of Reproduction the Second Peoplersquo;s Hospital of Yunnan Province, Kunming, Yunnan 650021, P.R.China) 【Abstract】[Objective] To investigate Postoperative unobstructed rate of fallopian tube of ampulla fallopian tube pregnancy patients who had undergone laparoscopic tubal embryo surgery incision and discuss on how to improve the postoperative the affected oviduct patency rate.[Methods] Eighty-two cases of ampulla fallopian tube pregnancy without rupture or abortion were diagnosed by laparoscopy from November 2008 to December 2010, treated by laproscopic tubal embryo surgery incision. The patients were divided into two groups before operation according to preoperative blood beta;-HCG. Patients whose blood beta;-HCGlt;1200IU/Lwere for A group, ge;1200IU/L for B group. To compare of two groups of intraoperative bleeding volume, operation time, and postoperative the affected oviduct patency rate. [ Results] In eighty-two patients, 6 cases who were failed to tubal embryo surgery incision were operated by surg