腹腔镜手术治疗输卵管间质部妊娠20例临床分析

【目的】探讨腹腔镜手术治疗输卵管间质部妊娠的方法与效果。【方法】20例输卵管间质部妊娠均采用腹腔镜手术。有生育要求且包块〈4cm的患者8例，行间质部妊娠切开取胚术；包块〉4cm者12例，行患侧宫角楔形切除，比较两种手术方法的手术情况及效果。【结果】20例患者均在腹腔镜下完成手术，无一例中转开腹。两种手术方法手术时间、术中出血量、术后血HCG恢复正常时间比较，差异无统计学意义（P〉0．05）。【结论】腹腔镜手术治疗未破型输卵管间质部妊娠微创、安全、有效的。

Clinical Analysis of Laparoscopic Operation for the Treatment of 20 Cases of Interstitial Tubal Pregnancy

[Objective]To explore the laparoscopic method for the treatment of interstitial tubal pregnancy. [Methods]Twenty cases of interstitial tubal pregnancy underwent laparoscopic operation. Eight patients with lump diameter〈4cm and fertility requirement underwent the resection of oviduct and removal of embryo. Twelve patients with lump diameter〉4cm underwent the wedge excision of affected side of uterine corner. The operation status and prognosis were compared between two surgical methods. [Results] The operation under laparoscope was successfully performed for 20 patients. No one turned to laparotomy. There was no sig- nificant difference in the operation time, intraoperative bleeding volume and the time of β-HCG recovery after operation between two surgical methods（ P 〉0.05）. [Conclusion] Laparoscopic operation for the treatment of interstitial tubal pregnancy is minimally invasive, safe and effective.