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为了评价显微外科技术在治疗输卵管异位妊娠中的作用,1977至1978年间作者研究了Yale-New Haven医院中9例已破裂和未破裂的输卵管异位妊娠病例。进行保守性显微外科手术的条件和病例选择是根据输卵管异位妊娠是否破裂和病变输卵管的解剖是否足够完整,而不致防碍手术的修复。作者在此期间,于该院治疗的所有53例异位妊娠患者中,选择了适于行显微外科手术者9例。均用超声波,β-亚单位妊娠试验,后穹窿穿刺和腹腔镜做出异位妊娠诊断后,插管麻醉进行手术。患者进行何种类型的手术取决于发病的部位。本文全部病例皆为壶腹部妊娠。此种保守性显微外科技术包括:使用细的缝线
To assess the role of microsurgery in the treatment of tubal ectopic pregnancy, the authors studied 9 cases of ruptured and unruptured tubal ectopic pregnancy in Yale-New Haven Hospital from 1977 to 1978. The conditions and case selection for conservative microsurgery are based on whether the tubal ectopic pregnancy is ruptured and the anatomy of the affected tubal is intact without hindering surgical repair. During this period, of the 53 patients with ectopic pregnancies treated in the hospital, 9 were selected for microsurgery. Ultrasound, β-subunit pregnancy test, culdocentesis and laparoscopy to make ectopic pregnancy diagnosis, intubation anesthesia for surgery. What kind of surgery the patient performs depends on the site of the disease. All cases of this article are ampulla pregnancy. Such conservative microsurgery techniques include the use of thin sutures