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目的探讨使用腹腔镜治疗输卵管妊娠时,用垂体后叶素做预处理对于手术出血量及术式的影响。探讨影响手术效果的相关因素。方法随机抽取使用腹腔镜手术治疗的输卵管妊娠180例。随机分为2组,每组90例。对照组手术不用垂体后叶素,试验组手术使用垂体后叶素注射于妊娠部位的输卵管系膜层做手术预处理,分析两组的术中出血量,术式情况。结果术中平均出血量对照组大于试验组(P<0.05)。对照组与试验组保留输卵管者分别为30例和85例。相比较差异有显著性。结论腹腔镜下治疗输卵管妊娠时,使用垂体后叶素做输卵管周围的预处理,能明显减少术中出血量,而且能最大限度地保留输卵管。
Objective To investigate the effect of laparoscopic treatment of tubal pregnancy with pituitrin for preoperative treatment of surgical bleeding volume and surgical procedures. To explore the factors that affect the effect of surgery. Methods 180 cases of tubal pregnancy treated with laparoscopic surgery were randomly selected. Randomly divided into two groups, 90 cases in each group. In the control group, pituitrin was not used in the operation. The experimental group was treated with pituitrin injection in the tubal mesangial layer of the pregnancy site for preoperative treatment. The blood loss and operation of the two groups were analyzed. Results The mean intraoperative blood loss in the control group was larger than that in the experimental group (P <0.05). The control group and the experimental group retained tubal were 30 cases and 85 cases. Compared with the difference was significant. Conclusion Laparoscopic treatment of tubal pregnancy, the use of vasopressin tubal around the pretreatment, can significantly reduce the amount of intraoperative bleeding, but also to maximize the retention of fallopian tubes.