阴式手术治疗输卵管妊娠52例的临床分析及手术技巧探讨

目的探讨分析阴式手术治疗输卵管妊娠的手术技巧。方法回顾分析52例阴式手术治疗输卵管妊娠的手术情况，统计手术时间、术中出血量、最高体温、术后白细胞计数（wsc）、术后肛门排气时间、住院时间、住院费用等情况。结果52例手术均成功完成。手术时间（44±13．4）min，术中出血量（34±6．6）ml，肛门排气时间（14．2±3．4）h，最高体温（37．3±0．3）℃，术后血白细胞计数（9．5±1．5）×10^9／L，住院时间（4．5±1．3）d，住院费用（3502．8±356．8）元。术后血绒毛膜促性腺激素（HCG）随访，平均降至正常时间为（10．6±2．4）d，术后1个月输卯管通液通畅率为81．8％（9／11）。结论阴式手术治疗输卵管妊娠在达到治疗效果的前提下使用微创治疗，患者损伤更小，恢复更快，费用更低。

Clinical analysis on transvaginal operation of 52 cases of tubal pregnancy and summary of operation skills

Objective To summarize and analyze the operation skills of transvaginal operation for tubal preg- nancy. Methods The surgical treatment conditions of 52 cases of tubal pregnancy undergoing transvaginal operation were retrospectively analyzed. The operation time, intraoperative blood loss, postoperative body temperature, white blood celleount（ WBC ） ,postoperative anal exhaust time, postoperative hospital stay, hospital costs, and so on were observed. Results Fifty-two patients were operated successfully. The operative time was （44±13.4） rain, intrao-peroctive blood loss （34± 6. 6） ml, anal exhaust time （ 14. 2 ± 3.4） h, maximum temperature （37. 3 ± 0. 3 ）℃, POStoperative blood was （9.5 ± 1.5 ） × 10^9/L, length of stay （4. 5 ±1.3 ） d, hospitalization costs （ 3502. 8 ± 356. 8）yuan （RMB）. The average time of serum HCG dropping to normal was （10. 6±2. 4）days, At 1 month after operation tubal patency rate was 81. 8% （9/11）. Conclusion Under the premise of obtained therapentie effect trans- vaginal operation for tubal pregnancy has aolvantages of minimally invasion, quicker recovery, lower cost and so on.