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目的 :探讨米非司酮联合腹腔镜手术治疗异位妊娠的新方法。方法 :对 35例确诊为输卵管妊娠患者行每日二次口服米非司酮 2 5mg ,共 5天。服用前后查血HCG水平提示下降后 ,行电视腹腔镜下手术保守治疗输卵管妊娠。结果 :35例手术无一例转为剖腹手术 ,仅 4例切除输卵管。术中胚胎机化易剥离 ,出血少 ,术后受孕率高 ,亦未增加异位妊娠率。结论 :米非司酮杀死胚胎 ,机化后与输卵管自行剥离 ,腹腔镜手术时创伤小 ,出血少 ,术后宫内妊娠率高 ,对于希望保留生育功能的妇女 ,有不可取代的优势
Objective: To explore a new method of mifepristone combined with laparoscopic surgery for ectopic pregnancy. Methods: 35 patients diagnosed as tubal pregnancy were given oral mifepristone 25mg twice daily for 5 days. Check blood HCG levels before and after taking a drop, the line of laparoscopic surgery conservative treatment of tubal pregnancy. Results: None of the 35 cases were converted to laparotomy and only 4 cases of tubal resection. Intraoperative embryo machine easily peel, less bleeding, high rate of postoperative pregnancy, did not increase the rate of ectopic pregnancy. Conclusion: Mifepristone kills the embryo, stripping itself from the fallopian tube after machine-assisted operation, less trauma, less bleeding and intrauterine pregnancy rate after laparoscopic surgery. It has an irreplaceable advantage for women who wish to retain their reproductive function