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腹腔镜下治疗输卵管间质部妊娠手术技巧探讨
引用本文:左越,柳晓春,郑玉华. 腹腔镜下治疗输卵管间质部妊娠手术技巧探讨[J]. 中国妇幼保健, 2005, 20(15): 1864-1865
作者姓名:左越  柳晓春  郑玉华
作者单位:广东省佛山市妇幼保健院,528000
摘    要:目的:探讨腹腔镜治疗输卵管间质部妊娠的手术技巧。方法:总结、分析腹腔镜下输卵管间质部妊娠改良手术患者的临床资料及随访资料。结果:8例患者均采用腹腔镜下单极电凝钳少量钳夹、缓慢移动法切除输卵管间质部的手术方法,与传统术式相比,该方法具有不必缝合、手术时间短、效果确切、出血少、无持续异位妊娠发生等优点。结论:改良的腹腔镜下治疗输卵管间质部妊娠的手术方法不仅可降低操作难度和术中出血率,而且易于学习和掌握。

关 键 词:输卵管间质部妊娠  腹腔镜手术  单极电凝钳凝切
文章编号:1001-4411(2005)15-1864-02
收稿时间:2004-10-22
修稿时间:2004-10-22

The probe into the laparoscopic surgical skills for the treatment of interstitial pregnancy
ZUO Yue,LIU Xiao-Chun,ZHENG Yu-hua. The probe into the laparoscopic surgical skills for the treatment of interstitial pregnancy[J]. Maternal and Child Health Care of China, 2005, 20(15): 1864-1865
Authors:ZUO Yue  LIU Xiao-Chun  ZHENG Yu-hua
Abstract:Objective:To investigate of laparoscopic surgical skills for the treatment of interstitial pregnancy. Methods:To analyze and summarize all the clinical and follow-up materials of the 8 interstitial pregnancy cases received improved laparoscopic surgery in Foshan Maternal and Children's Hospital from December, 2002 to August, 2004. Results:All 8 patients received the laparoscopic resection of interstitial portion of fallopian tube, during the course of which operators move the monopolar laparoscopic forceps carefully and slowly, in fact, bit by bit to electrocoagulate while resecting the interstitial portion, with the advantages of no suture, a shorter surgical time, less blood loss ,certain and satisfactory therapeutic effect and no persistent ectopic pregnancy etc. Conclusion:Compared with traditional surgery, this improved laparoscopic surgical approach for interstitial pregnancy can make the surgery easier and reduce blood loss during the surgery. And it is appropriate to be mastered by surgeons.
Keywords:Interstitial pregnancy   Laparoscopic surgery   Electrocoagulation and resection by monopolar laparoscopic forceps.
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