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异位妊娠约占妇科住院病人的6%,以输卵管妊娠最多见,占95%以上。以往治疗多行输卵管切除术,而近年来,由于医疗技术的进步在输卵管妊娠的治疗上已开展了保留输卵管功能的手术。现介绍如下:一、保留输卵管手术的适应症及应具备的条件。适应证:①年龄小于35岁者。②无健康子女存活者。③患者希再孕要求保留输卵管且理解再吻合手术的危险。④一侧输卵管已被切除。⑤胚胎种植部位在距子宫角1cm 至壶腹部之间。本手术应具备以下条件:①患者出血不急剧,休克已经纠正,患者情况稳定。②仔细检查输卵管,应无明显炎症、粘连及大范围破坏,特别应注意胚囊的位置、大小以及能留存的输卵管的长短等。③手术时最好使用放大镜或手术显微镜和无损伤缝线,术者应经过专门显微外科操作的训练。二、手术方法
Ectopic pregnancy accounts for about 6% of gynecological inpatients, the most common tubal pregnancy, accounting for more than 95%. In the past treatment of multiple tubal resection, and in recent years, due to advances in medical technology in the treatment of tubal pregnancy has been carried out to retain the function of tubal surgery. Are introduced as follows: First, to retain tubal surgery indications and should have the conditions. Indications: ① less than 35 years of age. ② no healthy child survivors. ③ patients hope pregnancy and pregnancy again to retain the fallopian tubes and understand the risk of re-coincidence surgery. ④ side of the fallopian tube has been removed. ⑤ embryo implantation site from the uterine horn 1cm to the ampulla between. The operation should have the following conditions: ① patient bleeding is not rapid, shock has been corrected, the patient was stable. ② careful examination of the fallopian tubes, there should be no obvious inflammation, adhesions and a wide range of damage, in particular, should pay attention to the location of embryo sac, size, and the length of oviduct that can be retained. Â ’¢ surgery is best to use a magnifying glass or surgical microscope and non-destructive suture, the surgeon should undergo specialized microsurgery training. Second, surgical methods