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目的:总结腹腔镜下保留输卵管手术治疗输卵管妊娠的经验。方法:为输卵管妊娠89例行腹腔镜手术。结果:89例均在腹腔镜下行输卵管开窗术,保留了输卵管,手术时间15～110min,患者术后住院平均为5.3d,术后1月复查并行宫腔镜下输卵管插管通液术49条,输卵管通畅47条,通畅率为95.91％。结论:腹腔镜下保留输卵管手术治疗输卵管妊娠,患者创伤小,康复快,不干扰盆腔内环境,不影响卵巢功能,可保留生育能力。
Objective: To summarize the experience of laparoscopic tubal surgery for tubal pregnancy. Methods: 89 cases of tubal pregnancy laparoscopic surgery. Results: 89 patients underwent laparoscopic tubal fenestration, the retention of the fallopian tubes, the operation time 15 ~ 110min, the average postoperative hospital stay was 5.3d, 1 month after the review of hysteroscopic tubal catheterization 49 Article, tubal patency 47, patency rate was 95.91%. Conclusion: Laparoscopic treatment of tubal surgery to retain tubal surgery, trauma patients, fast recovery, does not interfere with the pelvic environment, does not affect ovarian function, can retain fertility.