| 腹腔镜下输卵管妊娠保守性手术中剥除妊娠黄体对预防持续性异位妊娠的效果探讨 |
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| 引用本文： | 黄会香,黄诗敏,黄浩. 腹腔镜下输卵管妊娠保守性手术中剥除妊娠黄体对预防持续性异位妊娠的效果探讨[J]. 中国微创外科杂志, 2010, 10(3): 232-234 |
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| 作者姓名： | 黄会香 黄诗敏 黄浩 |
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| 作者单位： | 1. 江西省吉安市第一人民医院妇产科,吉安,343000
2. 广东省佛山市南海区人民医院妇产科,佛山,528000 |
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| 摘 要： | 目的探讨腹腔镜下输卵管妊娠保守性手术同时行妊娠黄体剥除对预防持续性异位妊娠的临床效果。方法2006年1月～2008年12月对142例输卵管妊娠施行腹腔镜下保守性手术,术中同时行黄体剥除77例(A组),未行黄体剥除65例(B组),评价2种术式的治疗效果。结果A组手术时间(40±16)min与B组(35±15)min比较差异无显著性(t=1.909,P=0.058);A组术中出血量(50±30)ml与B组(48±30)ml比较差异无显著性(t=0.396,P=0.693);A组血β-hCG降至正常时间(12±2)d显著短于B组(21±7)d(t=-10.656,P=0.000);A组持续性异位妊娠发生率1.3%(1/77)显著低于B组12.3%(8/65)(χ2=5.461,P=0.019)。结论腹腔镜下输卵管妊娠保守性手术同时行妊娠黄体剥除有利于清除残余滋养细胞,使血β-hCG值下降,是预防持续性异位妊娠发生的另一种术式选择。
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| 关 键 词： | 输卵管妊娠 腹腔镜保守性手术 黄体剥除 |
Effect of Corpus Luteum Removal During Laparoscopic Conservative Surgery for Tubal Pregnancy |
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| Huang Huixiang,Huang Shimin,Huang Hao. Effect of Corpus Luteum Removal During Laparoscopic Conservative Surgery for Tubal Pregnancy[J]. Chinese Journal of Minimally Invasive Surgery, 2010, 10(3): 232-234 |
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| Authors: | Huang Huixiang Huang Shimin Huang Hao |
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| Affiliation: | Huang Huixiang,Huang Shimin,Huang Hao.Department of Obstetrics , Gynecology,Ji'an First People's Hospital,Ji'an 343000,China |
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| Abstract: | Objective To evaluate the efficacy of stripping the corpus luteum during laparoscopic conservative surgery for tubal pregnancy in the prevention of recurrent ectopic pregnancy.Methods From January 2006 to December 2008,142 women with tubal pregnancy received laparoscopic conservative surgery in our hospital.Among the patients,the corpus luteum was stripped in 77 cases(group A),the rest 65 patients were set as a control group without stripping the corpus luteum(group B).The outcomes of the two groups were co... |
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| Keywords: | Tubal pregnancy Laparoscopic conservative surgery Corpus luteum strip |
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