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垂体后叶素在腹腔镜下输卵管妊娠保守手术中的应用
引用本文:陈燕玲.垂体后叶素在腹腔镜下输卵管妊娠保守手术中的应用[J].中国现代医生,2013(18):138-139.
作者姓名:陈燕玲
作者单位:广东省韶关市仁化县妇幼保健院妇产科,广东仁化512300
摘    要:目的总结垂体后叶素在腹腔镜下输卵管妊娠保守手术中的应用经验。方法将确诊为输卵管妊娠、有生育要求、具备保留输卵管条件的52例患者随机分为两组,均在腹腔镜下行输卵管开窗取胚保守手术。观察组26例术前先在输卵管系膜中注射垂体后叶素,而对照组未用垂体后叶素。记录两组手术时间、术中出血量、持续性输卵管妊娠发生率等。结果两组手术均成功。观察组手术时间、术中出血量均少于对照组。结论在腹腔镜输卵管切开取胚术时使用垂体后叶素,可明显减少手术时间及术中出血量,并能提高输卵管保留成功率,安全、可行,值得推广。

关 键 词:腹腔镜  异位妊娠  垂体后叶素  输卵管开窗取胚术

The application of pituitrin in the conservative laparoscopic surgery of tubal pregnancy
Authors:CHEN Yanling
Affiliation:CHEN Yanling( Department of Obstetrics and Gynecology, Renhua Matermity and Child Heahhcare Hospital in Guangdong Province, Renhua 512300, China)
Abstract:Objective To summarize our experience of pituitfin used in the conservative laparoscopic surgery of tubal pregnancy. Methods A total of 52 patients diagnosed tubal pregnancy who had reproductive requirements and could be reserved the tubal, were randomly divided into two groups. These patients were adopted conservative laparoscopie surgery of tubal pregnancy. The observation groups included 26 cases which were firstly injected pituitrin at the film of tubal pregnancy before operation. The control groups did not receive pituitrin. All patients were requested to record the duration of operation, the volume of blood loss and the incidence of persistent ectopic pregnancy. Results All patients' operation were successful. The duration of operation and the volume of blood loss in the observation groups were less than the control groups. Conclusion The duration of operation, the volume of blood loss can be reduced by the use of pituitrin during Laparoscpic Salpingotoing and improve the rate of reserving tubal. The method is safe and feasible.
Keywords:Laparoscopy  Ectopic pregnancy  Pituitrin  Salpingotomy
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