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保守性手术后再发异位妊娠48例临床分析
Recurrent Ectopic Fetation-clinical Analysis of 48 Cases
【摘要】 目的探讨保留输卵管手术对再发异位妊娠的影响。方法对单县中心医院1998~2006年12月手术治疗的620例异位妊娠患者进行回顾性分析。结果620例异位妊娠手术患者中,行保守性手术治疗者122例,占19.7%,再发异位妊娠48例,占39.3%。结论异位妊娠性保守手术治疗,虽然保留了输卵管的生理功能,但输卵管局部的创伤,又影响了输卵管的蠕动功能,增加了重复异位妊娠的可能性。因此,在选择保守性手术时要严格掌握指征,对侧输卵管正常,不主张保留疾患侧的输卵管。
【Abstract】 Objective To study the effect of conservative operation on fallopian tube on recurrent ectopic fetation.Methods To do retrospective analysis of 620 cases of ectopic fetation in Shanxian central hospital from 1998 to 2006.Results In the 620 cases,there are 122 cases had accepted conservative operation(19.7%),and 48 cases(39.3%)of them recur ectopic fetation.Conclusion Conservative operation can reserve the physiologic function of fallopian tube,but the wound can affect its enterocinesia function and increase the possibility of ectopic fetation.We must control the indicatio strictly when select the conservative operation.when the opposite fallopian tube is normal the reservation of affected fallopian tube is not uphold.
【Key words】 Recurrent ectopic fetation; Conservative operation; Early diagnosis;
- 【文献出处】 医学综述 ,Medical Recapitulate , 编辑部邮箱 ,2009年05期
- 【分类号】R714.22;R713
- 【下载频次】22