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目的探讨局部注射垂体后叶素在腹腔镜下治疗宫角妊娠的安全性和有效性。方法选取2008年12月至2012年1月使用腹腔镜对24例宫角妊娠患者进行诊断以及输卵管开窗取胚术,24例患者均分为实验组和对照组,实验组于术前在近宫角处的输卵管系膜及妊娠包块基底部注射垂体后叶素,而对照组不用垂体后叶素;比较两组的手术时间、术中出血量、术后平均体温、术后输卵管通畅度。结果实验组的手术时间和术中出血量发生率均明显少于对照组,术后输卵管通畅度明显高于对照组。结论局部注射垂体后叶素在腹腔镜下输卵管妊娠开窗取胚术治疗宫角妊娠,能使患者术中收缩子宫平滑肌、术中出血量减少,缩短手术时间,且能显著提高术后输卵管通畅度,是一种安全可靠且值得推广的方法。
Objective To investigate the safety and efficacy of topical injection of pituitrin for laparoscopic treatment of cornual pregnancy. Methods From December 2008 to January 2012, 24 cases of cornual pregnancy were diagnosed by laparoscopy and the oviduct was taken out for embryo implantation. All the 24 patients were divided into experimental group and control group. The oviduct in the palace corner and the basal part of the pregnancy mass were injected with pituitrin, while the control group was without pituitrin. The operation time, intraoperative blood loss, postoperative average body temperature, postoperative tubal patency . Results The operation time and the incidence of intraoperative blood loss were significantly less in the experimental group than in the control group. The postoperative tubal patency rate was significantly higher than that in the control group. Conclusion Local injection of vasopressin in the laparoscopic tubal pregnancy window pregnancy embryo surgery can make the patients shrink uterine smooth muscle during surgery, reduce intraoperative bleeding, shorten the operation time, and can significantly improve postoperative tubal patency Degree, is a safe and reliable and worth promoting methods.