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目的观察腹腔镜下输卵管妊娠保守性手术中两点注射垂体后叶素的止血效果。方法选择未破裂输卵管妊娠患者67例,采用腹腔镜下输卵管妊娠保守性手术,根据术中注射垂体后叶素的方法分为两组,采用两点注射者35例(观察组),采用单点注射者32例(对照组)。比较两组患者术中出血量、手术时间及术后并发症等的发生情况。结果两组患者均顺利完成腹腔镜下输卵管切开术,无中转开腹及并发症发生。观察组手术时间、术中出血量少于对照组(P<0.05)。两组各出现1例持续性宫外孕,给予氨甲喋呤治疗后血人绒毛膜促性腺激素下降,门诊复查恢复正常。结论输卵管妊娠保守性手术中使用两点注射垂体后叶素能减少术中出血量,缩短手术时间,临床效果好。
Objective To observe the hemostatic effects of vasopressin injection at two points in laparoscopic conservative surgery of tubal pregnancy. Methods Sixty-seven patients with unruptured tubal pregnancy were selected. Laparoscopic tubal pregnancy conservative surgery was used. Two groups were divided into two groups according to intraoperative injection of vasopressin. 35 patients (observation group) Injecting 32 cases (control group). The blood loss, operation time and postoperative complications of the two groups were compared. Results The two groups of patients were successfully completed laparoscopic tubal incision, no laparotomy and complications. The operation time and blood loss in the observation group were less than those in the control group (P <0.05). One case of persistent ectopic pregnancy appeared in both groups, the blood human chorionic gonadotropin decreased after methotrexate treatment, and the outpatient examination returned to normal. Conclusions The two-point injection of pituitrin in conservative surgery of tubal pregnancy can reduce intraoperative blood loss, shorten the operation time and have good clinical effect.