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目的探讨输卵管妊娠腹腔镜保守性手术后发生持续性异位妊娠(persistent ectopic pregnancy,PEP)的原因。方法回顾性分析2005年9月~2012年10月间我院269例因输卵管妊娠行腹腔镜保守性手术,其中7例发生持续性异位妊娠,均经病理检查证实。结果如输卵管妊娠发生破裂或流产,在腹腔镜保守性手术取出妊娠产物时,因套管鞘较小,可能会被挤入腹腔发生PEP,观察发现随术后血HCG数值增高,发生PEP机会也会相应增加。结论输卵管妊娠腹腔镜保守性手术后,应持续监测血HCG下降情况,以免PEP的发生。
Objective To investigate the causes of persistent ectopic pregnancy (PEP) after laparoscopic conservative surgery for tubal pregnancy. Methods Retrospective analysis of 269 cases of conservative treatment of tubal pregnancy due to tubal pregnancy in our hospital from September 2005 to October 2012, of which 7 cases of persistent ectopic pregnancy, confirmed by pathological examination. Results such as tubal pregnancy rupture or abortion, laparoscopic conservative surgery to remove the pregnancy product, due to the smaller sheath, may be squeezed into the abdominal PEP, the observation was found with the postoperative blood HCG values, the occurrence of PEP opportunities Will be increased accordingly. Conclusions After laparoscopic conservative surgery for tubal pregnancy, the decrease of blood HCG should be continuously monitored to avoid the occurrence of PEP.