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目的:在输卵管妊娠的治疗中,通过显微手术,保留有生育要求之妇女的患侧输卵管功能。方法:显微镜下放大4～8倍,清除输卵管管腔内瘀血块及妊娠物,用7/0可吸收线间断缝合管腔,术后3～5天及第一、二次月经干净后3～5天行输卵管通水术,第三次月经干净后3～5天行输卵管碘油造影。结果:足月分娩6例,占31.6%。宫内孕4例,占21.1%。正在避孕8例,占42.1%。1例失败。结论:显微手术应用于输卵管妊娠修复手术,虽然难度大,但手术使输卵管损伤小,自身愈合能力强,术后功能恢复良好。
OBJECTIVE: To preserve the tubal function of the affected side of women with fertility requirements through microsurgery in the treatment of tubal pregnancy. Methods: Magnified 4 ~ 8 times under the microscope to clear the blood stasis blockage and pregnancy in the tubal lumen, with 7/0 absorbable suture intermittent suture tube, 3 to 5 days after surgery and the first and second menstrual clean 3 ~ 5 days line tubal water, the third menstrual clean 3 to 5 days tubal lipiodol angiography. Results: 6 cases of full-term labor, accounting for 31.6%. Intrauterine pregnancy in 4 cases, accounting for 21.1%. Contraception in 8 cases, accounting for 42.1%. 1 case failed. Conclusion: Microsurgical operation for tubal pregnancy repair surgery, although difficult, but the operation of the tubal injury is small, self-healing ability, postoperative functional recovery is good.