催产素用于输卵管妊娠腹腔镜保守性手术的临床观察

目的探讨输卵管妊娠腹腔镜保守性手术中应用催产素的疗效。方法将147例进行腹腔镜保守手术的输卵管妊娠患者随机分为四组，A组40例，将催产索20u注射于妊娠部位附近的输卵管系膜；B组37例，将催产素20u注射于宫底；C组42例，将催产素10U注射于妊娠部位附近的输卵管系膜同时将催产素10U注射于宫底；D组28例不用催产素。观察各组术中输卵管出血量、保守手术成功率及术后恢复情况。结果术中输卵管出血量C组少于其他各组，P〈0．05，A组、B组出血量与D组无显著差异，P〉0．05；各组保守性手术成功率C组高于其他各组，P〈0．05，A组、B组手术成功率与D组无显著差异，P〉0．05；各组血β-HCG下降率无统计学差异，P〉0．05；术后患侧输卵管通畅率C组高于其他各组，P〈0．05，A组、B组患侧输卵通畅率与D组无显著差异，P〉0．05。结论合理将催产素用于输卵管妊娠腹腔镜保守性手术可以减少术中出血，提高手术成功率。

Clinical observation of of injection in conservative laparoscope operation of tubal pregnancy patients

Objective To study the effect of oxytocin in conservative laparoseope operation of tubal pregnancy patients. Methods 147 tubal pregnancy patients operated by conservative laparescope are divided into 4 groups by random, A group injecting 20 U oxytocin to mesosalpinx near nidation,B group injecting 20 U oxytocin to fundus,C group injecting 20 U oxytecin to fundus and mesosalpinx near nidation, D group injecting nothing. Results The tubal hemorrhage of C group is less than other groups,P 〈0.05 ,there is no significant deviation among A group,B group and D group,P 〉0.05 ;The achievement ratio of conservative laparoscope operation of C group is more than other groups,P 〈0.05 ,there is no significant deviation among A group,B group and D group,P 〉0.05 ;The decent ratio of β-HCG among all groups has no significant deviation, P 〉0. 05 ;The tubal patency rate after operation of C group is more than other groups,P 〈0.05 ,there is no significant deviation among A group,B group and D group,P 〉 0.05. Conclusion Injecting oxytocin reasonablely in conservative laparoscope operation of tubal pregnancy patients can decrease hemorrhage and raise operation achievement ratio.