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目的探讨经脐单孔腹腔镜输卵管妊娠开窗取胚术的可行性。方法对2010年3-9月在南方医科大学广济医院住院的20例输卵管妊娠患者行经脐单孔腹腔镜输卵管开窗取胚术。结果除1例术中发现为间质部妊娠改为三孔手术外,其余19例手术全部成功,术后监测血β-绒毛膜促性腺激素(HCG)均未发生持续性异位妊娠。结论经脐单孔腹腔镜输卵管开窗取胚术是一种安全可行、更加理想的微创术式,在实施中应注意正确、严格地选择病例,提高手术技巧,术后严密观察血β-HCG的下降。
Objective To investigate the feasibility of embryo transfer via single-hole laparoscopic tubal pregnancy. Methods From March to September in 2010, 20 cases of tubal pregnancy admitted to Guangji Hospital of Southern Medical University were enrolled in this study. Results All the 19 surgeries were successfully performed except one case of three-hole surgery in which the interstitial pregnancy was found during operation. No persistent ectopic pregnancy occurred in the serum of patients with postoperative blood β-chorionic gonadotropin (HCG). Conclusion The umbilical single-hole laparoscopic tubal fenestration is a safe and feasible, more ideal minimally invasive surgery in the implementation should pay attention to the correct, strict selection of cases, improve surgical skills, close observation of blood after surgery β- HCG decline.