论文部分内容阅读
目的 :为进一步评价腹腔镜术诊治输卵管妊娠的价值和探讨保守性手术方法的疗效。方法 :应用腹腔镜术对 4 2例可疑输卵管妊娠病人进行诊治和总结。结果 :1例诊断为早期宫内妊娠伴黄体囊肿 ,4 1例确诊为输卵管妊娠。此 4 1例均在腹腔镜下完成保守性输卵管手术 ,无术后并发症和死亡。 3 3例病人出院后追踪检查 ,HCG均恢复正常 ,3 0例输卵管通水通畅 ,3例部分通畅 ,B超检查未发现包块。结论 :应用腹腔镜术 ,可明显提高输卵管妊娠的确诊率 ,并能及时给予安全、确切的处理。手术方法应选择保存输卵管的开窗术和切开术为佳
Objective: To further evaluate the value of laparoscopic diagnosis and treatment of tubal pregnancy and explore the efficacy of conservative surgical methods. Methods: Laparoscopy was used to diagnose and summarize 42 cases of suspected tubal pregnancy. Results: One case was diagnosed as early pregnancy uterus with corpus luteum cyst, and 41 cases were diagnosed as tubal pregnancy. All 41 patients underwent laparoscopic conservative tubal surgery without complications and death. 3 3 patients were discharged after follow-up examination, HCG were returned to normal, 30 cases of tubal patency, 3 cases partially clear, B-ultrasound did not find mass. Conclusion: The application of laparoscopy can significantly improve the diagnosis of tubal pregnancy rate, and timely and safe and accurate treatment. Surgical methods should choose to save the fallopian tube fenestration and incision is better