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经脐单孔腹腔镜输卵管妊娠开窗取胚术19例分析
引用本文:王彩芳,高树生,刘艳香,王成友,刘秋香,刘敏. 经脐单孔腹腔镜输卵管妊娠开窗取胚术19例分析[J]. 中国实用妇科与产科杂志, 2012, 0(6): 449-450
作者姓名:王彩芳  高树生  刘艳香  王成友  刘秋香  刘敏
作者单位:南方医科大学广济医院妇科
基金项目:广东省东莞市科技计划(编号:201110515062220)
摘    要:
目的探讨经脐单孔腹腔镜输卵管妊娠开窗取胚术的可行性。方法对2010年3-9月在南方医科大学广济医院住院的20例输卵管妊娠患者行经脐单孔腹腔镜输卵管开窗取胚术。结果除1例术中发现为间质部妊娠改为三孔手术外,其余19例手术全部成功,术后监测血β-绒毛膜促性腺激素(HCG)均未发生持续性异位妊娠。结论经脐单孔腹腔镜输卵管开窗取胚术是一种安全可行、更加理想的微创术式,在实施中应注意正确、严格地选择病例,提高手术技巧,术后严密观察血β-HCG的下降。

关 键 词:腹腔镜  单孔  输卵管妊娠  开窗取胚术

The umbilical hole laparoscopic salpingostomy of tubal pregnancy
WANG Cai-fang,GAO Shu-sheng,LIU Yan-xiang,WANG Cheng-you,LIU Qiu-xiang,LIU Min. The umbilical hole laparoscopic salpingostomy of tubal pregnancy[J]. Chinese Journal of Practical Gynecology and Obstetrics, 2012, 0(6): 449-450
Authors:WANG Cai-fang  GAO Shu-sheng  LIU Yan-xiang  WANG Cheng-you  LIU Qiu-xiang  LIU Min
Affiliation:.Department of Gynecology,Guang Ji Hospital Southern Medical University,Dongguan 523700,China
Abstract:
Objective To investigate the feasibility of the umbilical hole laparoscopic salpingostomy of tubal pregnancy.Methods Between March 2010 and September 2010,20 cases of tubal pregnancy were treated by via umbilical hole surgery laparoscopic salpingostomy.Results In addition to 1 case of interstitial pregnancy that was changed to three-hole surgery,the other was successful in all 19 cases,postoperative monitoring of blood β-HCG persistent ectopic pregnancy did not occur.Conclusion The umbilical hole fenestration embryo laparoscopic tubal surgery is a safe and feasible,a more ideal minimally invasive procedure,and in the correct implementation should be noted that,strictly selected cases,improved surgical techniques,postoperative close monitoring of blood β-HCG decline.
Keywords:laparoscopy  one-trocar  tubal pregnancy  salpingostomy
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