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目的探讨腹腔镜下输卵管妊娠保守性手术治疗方法的改良。方法选择采用改良式腹腔镜下输卵管保守手术患者28例,切开取胚前结扎输卵管系膜血管及稀释垂体后叶素局部注射,术中有效控制出血,减少输卵管内膜损伤和术后瘢痕形成。结果术后人绒毛膜促性腺激素(HCG)水平下降迅速,阴道流血于7 d内自净。输卵管畅通率高,无一例发生宫外孕。结论对于有生育要求的输卵管妊娠患者,采用改良后的腹腔镜保守手术是安全可行的方法,临床效果确切。
Objective To investigate the improvement of laparoscopic conservative treatment of tubal pregnancy. Methods Twenty-eight patients underwent modified laparoscopic conservative surgery of the fallopian tube were divided into two groups: local injection of tubal vasculature and ligation of vasopressin before the embryo implantation; control of hemorrhage during operation and reduction of intimal damage and postoperative scar formation . Results The level of human chorionic gonadotropin (HCG) decreased rapidly after operation, vaginal bleeding self-purification within 7 days. Tubal unobstructed rate of ectopic pregnancy. Conclusion For patients with tubal pregnancy who have fertility requirements, it is a safe and feasible method to adopt conservative laparoscopic surgery. The clinical effect is definite.