| 腹腔镜手术治疗剖宫产术后子宫瘢痕部位妊娠 |
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| 引用本文： | 王克芳,王菊荣,李斌.腹腔镜手术治疗剖宫产术后子宫瘢痕部位妊娠[J].中国微创外科杂志,2011,16(6):496-497,501. |
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| 作者姓名： | 王克芳 王菊荣 李斌 |
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| 作者单位： | 1. 首都医科大学附属北京安贞医院妇产科,北京,100029
2. 河北省邯郸市中心医院妇科,邯郸,056001 |
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| 摘 要： | 目的探讨剖宫产术后子宫瘢痕部位妊娠（caesarean scar pregnancy,CSP）腹腔镜手术治疗的价值。方法采用全身麻醉,膀胱截石位,气腹针穿刺进腹,腹腔充CO2气体（压力13 mm Hg）,置入trocar,进镜探查。分离子宫前壁峡部与周围组织的粘连,电切打开膀胱子宫反折腹膜,下推膀胱。子宫下段宫壁肌注垂体后叶素6 U,单极电钩楔形切除病灶组织,1号薇乔线连续双层缝合子宫肌层。结果 13例CSP行腹腔镜下病灶切除术联合子宫修补术。术后住院3~5 d。13例术后1~3周后血β-hCG降至正常,1~2个月月经恢复正常。结论腹腔镜手术治疗子宫瘢痕部位妊娠效果确切,疗效好,恢复快。
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| 关 键 词： | 异位妊娠 剖宫产术后子宫瘢痕部位妊娠 腹腔镜手术 |
Laparoscopic Management of Caesarean Scar Ectopic Pregnancy |
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| Wang Kefang,Wang Jurong,Li Bin.Laparoscopic Management of Caesarean Scar Ectopic Pregnancy[J].Chinese Journal of Minimally Invasive Surgery,2011,16(6):496-497,501. |
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| Authors: | Wang Kefang Wang Jurong Li Bin |
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| Institution: | Wang Kefang,Wang Jurong,Li Bin.Department of Obstetrics and Gynecology,Beijing Anzhen Hospital,Capital Medical University,Beijing 100029,China |
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| Abstract: | Objective To investigate the methods and outcomes of laparoscopic surgery for caesarean scar pregnancy(CSP).Methods Under general endotracheal anesthesia,with the patients being placed in low lithotomy position,a Veress needle was introduced into the peritoneal cavity,and then pneumoperitoneum was created by insufflating carbon dioxide at a maximal pressure of 13 mm Hg.The adhesion caused by the anterior uterine mass was removed carefully and completely.And by using laparoscopy the vesicouterine peritoneum ... |
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| Keywords: | Ectopic pregnancy Caesarean scar pregnancy Laparoscopic surgery |
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