输卵管妊娠腹腔镜保守性手术后持续性异位妊娠的临床分析.docVIP

精品论文 参考文献 输卵管妊娠腹腔镜保守性手术后持续性异位妊娠的临床分析 吴晓霞 (广东省佛山市顺德区均安镇均安医院妇产科 528329) 【中图分类号】R714.22 【文献标识码】A【文章编号】1672-5085（2012）47-0165-02 【摘要】 目的 探讨输卵管妊娠腹腔镜保守性手术后持续性异位妊娠的危险因素及预防措施。 方法 将本院收治的122例输卵管妊娠患者随机分为实验组和对照组，两组患者均行腹腔镜保守性手术。实验组患者在术后给予米非司酮的治疗，比较两组患者术后持续性异位妊娠（PEP）的发生率，分析对照组高危因素。 结果 实验组PEP发生率为3.3%，显著低于对照组的11.5%（plt;0.05），停经时间lt;49d或gt;58d、术前血HCGgt;3000miu/ml、曾有异位妊娠病史的患者PEP发病率显著较高（plt;0.05）。 结论 停经时间lt;49d或gt;58d、术前血HCGgt;3000miu/ml、曾有异位妊娠病史是腹腔镜保守手术后PEP的高危因素，应给予米非司酮进行预防。 【关键词】 输卵管妊娠 腹腔镜保守手术 持续性异位妊娠 Junan Hospital of Obstetrics and Gynecology,Shunde District, Foshan City, Guangdong Province Wu Xiaoxia Clinical analysis of persistent ectopic pregnancy after conservative laparoscopic tubal pregnancy surgery 【Abstract】 Objective To investigate the risk factors for persistent ectopic pregnancy after conservative laparoscopic tubal pregnancy surgery and its preventive measures. Methods 122 cases of tubal pregnancy in our hospital were randomly divided into experimental and control groups, and both groups of patients underwent laparoscopic conservative surgery. The experimental group was given mifepristone treatment after surgery. Then compare the incidence of persistent ectopic pregnancy (PEP) between two groups, and analyze its risk factors. Results The incidence of PEP of experimental group was 3.3%, which was significantly lower than the control group of 11.5% (p lt;0.05). The incidence of PEP of patients whose menopause time lt;49 days orgt; 58d, preoperative blood HCGgt; 3000miu/ml, history was having ectopic pregnancy was significantly higher (p lt;0.05). Conclusion menopause time lt;49 days orgt; 58d, preoperative blood HCGgt; 3000miu/ml, having a history of ectopic pregnancy are the risk factors of PEP after laparoscopic conservative surgery, patients with risk factors should be given mifepristone for prevention. 【Keywords】 tubal pregnancy laparoscopic conservative surgery persistent ectopic pregnancy 术后持续性异位妊娠（PEP）是输卵管妊娠腹腔