腹腔镜保守性手术后持续性异位妊娠的防治探讨

目的探讨腹腔镜下保守性手术后持续性异位妊娠（PEP）的防治措施。方法回顾性分析东莞市长安医院268例异位妊娠腹腔镜下保守性手术的临床资料。结果PEP13例，发生率4．85％；11例使用甲氨喋呤及中药杀胚治疗，病情痊愈；另2例拒绝用药，再次手术。结论异位妊娠腹腔镜保守性手术后PEP发生的可能性大，严格选择保守手术病例，彻底清除病灶，术中常规在妊娠部位注入甲氨喋呤，术后严密观察血β-hCG的下降情况，及时使用甲氨喋呤及中药杀胚治疗，可有效的预防和治疗PEP。

The prevention and treatment of persistent ectopie pregnancy after laparoscople conservative surgery

Objective To explore the prevention of persistent ectopie pregnancy（PEp） after Laparoscopic conservative surgery. Methods To retrospectively analyze the clinical data of ectopic pregnancy by Laparoscopie conservative surgery （ n = 268 ）. Results 13 cases turned out PEP. The incidence was 4.85 %, Of which 11 cases using MTX and traditional Chinese medicine to kill embryos were cured. Another refused medication two cases needed for re - operation Conclusion PEP occurred after laparoscopie surgery of ectopic pregnancy is a very big possibility. It is prevention and treatment of PEP that highly selective conservative surgical cases, eradicate lesion, inject MTX at pregnancy site during surgery routinely, observe the decline of β - hCG blood strict after surgery and use MTX and traditional Chinese medicine to kill embryos in time.