输卵管妊娠腹腔镜手术后持续性异位妊娠的发生

目的探讨输卵管妊娠病人腹腔镜手术后持续性异位妊娠(DEP)发生的可能原因，并提出可行的预防措施。方法回顾性分析该院1999年1月～2002年12月间124例接受腹腔镜手术并经病理证实为输卵管妊娠的病例。结果5例腹腔镜手术中转开腹，2例发生PEP，发生率为1．7％(2／119)。结论虽然异位妊娠腹腔镜手术后。PEP的发生率较高，但通过术式的正确选择、操作技巧的改进，以及药物性预防和医生警惕性的提高是可以减少甚至避免其发生的，与此同时也减少了治疗费用并最大限度保障了生育功能。

Occurrence of persistent ectopic pregnancy after laparoscopic surgery for tubal pregnancy

Objective: To explore the possible reasons of persistent ectopic pregnancy(PEP) after laparoscopic(LSC) surgery for tubal pregnancy, and put forward feasible preventive measures. Methods: One hundred and twenty-four cases between Jan. 1999 and Dec. 2002 were studied retrospectively which were proved tubal pregnancy by pathology after laparoscopic surgery in this hospital. Results: Five cases were turned to laparotomy for the complicated factors. The occurrence rate of persistent ectopic pregnancy(PEP) was 1.7%(2/119).Conclusions:Though the occurrence rate of PEP are higher after laparoscopic surgery, PEP may be decreased even avoided through the correct choose of surgery type, the improvement manipulation of operation, the prevention of drag and the enhancement attention of doctor, at the same time, the management will also cut down the fee of treatment and ensure the maximum fecundity.