【摘要】 目的比较3种腹腔镜下取胚术治疗输卵管妊娠的临床效果。方法 300例行腹腔镜下取胚术的输卵管妊娠患者随机分为3组。A组先用水压分离清除妊娠物,再将垂体后叶素注射于输卵管妊娠部位;B组只行水压分离清除妊娠物;C组先将输卵管妊娠物挤压去除,再将垂体后叶素注射于输卵管妊娠部位。比较3组手术时间、术中出血量、术后最高体温、输卵管保留成功率、输卵管通畅度、宫内妊娠率和再次宫外孕发生率。结果与B、C组比较,A组手术时间较短,术中出血量较少,输卵管保留成功率、输卵管通畅率、宫内妊娠率较高,再次宫外孕发生率较低(P<0.01)。结论腹腔镜下水压分离取胚+垂体后叶素局部注射是治疗输卵管妊娠的安全、有效方法。更多还原

【Abstract】 Objective To compare the clinical efficacy of 3 laparoscopic embryo removal procedures in patients with salpingocyesis. Methods A total of 300 patients with salpingocyesis underwent laparoscopic embryo removal were randomly divided into 3 groups. Groups A, B and C were treated with embryo hydrodissection and fallopian pituitrin injection, single embryo hydrodissection, and embryo extrusion and fallopian pituitrin injection, respectively. Operation time, intraoperative blood loss, postoperative maximal body temperature, fallopian reservation and patency, intrauterine pregnancy, and ectopic pregnancy were compared among 3 groups. Results Compared with Groups B and C, operation time was shorter, blood loss was less, rates of fallopian reservation and patency and intrauterine pregnancy were higher, and recurrence of ectopic pregnancy was lower in Group A(P<0.01). Conclusion Laparoscopic embryo hydrodissection plus fallopian pituitrin injection is safe and effective for salpingocyesis.更多还原