输卵管妊娠保守性手术联合妊娠黄体剥除32例临床观察

【摘要】 目的探讨术中剥除妊娠黄体对输卵管妊娠行保守性手术治疗的临床意义。方法32例输卵管妊娠患者(其中6例为第2次输卵管妊娠),21例行输卵管切开取胚术,11例行输卵管壶腹部胚囊挤压术。术中均剥除妊娠黄体。观察输卵管妊娠保守性手术治疗的效果。结果本组病例无持续性异位妊娠发生。术后月经周期及性状无明显改变。术后第1次月经干净后行输卵管通液检查,证实输卵管通畅者19例;输卵管通而不畅者6例;7例输卵管造影检查提示患侧输卵管梗阻。21例有生育要求者在1年内宫内妊娠12例,再次异位妊娠2例。结论在输卵管妊娠行保守性手术治疗时,术中剥除妊娠黄体对有效防治术后持续性异位妊娠具有重要的临床意义。更多还原

【Abstract】 Objective To explore the clinical significance of conservative operative therapeu tic with stripping corpus luteum of pregnancy during tubal pregnancy operation. Methods 32 cases of tubal pregnancy (6 cases for the second times) were performed conservative operative therapeutic with stripping corpus luteum of pregnancy, which fallopian tube were incised for remove embryo in 21 p atients and embryo sac of ampulla of uterine tube were squeezed out in 11 patien ts. Results There were no change for patient’s menstrual cy cle and menses trait after operation. Fallopian tube was unobstructed in 19 case s(59.38%) ,partly unobstructed in 6 cases(18.75%)through hydrotubation and obs tructed in the disease oviduct in 7 cases (21.88%)through contrast examination in fallopian tube. For the claim of Birth in 21 patients, 12 patients had intra uterine pregnancy again (57.14%) and 2 patients had extrauterine pregnancy a gain. Conclusion Stripping corpus luteum of pregnancy durin g tubal pregnancy operation is important clinical significance to prevent po stoperative continuous extrauterine pregnancy.更多还原