低气腹压腹腔镜治疗体外受精-胚胎移植术后早孕并异位妊娠的可行性

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Abstract Objective To analyze the viability of low gas abdominal laparoscopic in the treatment of ectopic gestation after vitro fertilization-embryo transfer(IVF-ET).M ethods Forty-six cases of ectopic gestation pregnancy patients after IVF-ET concurrentwere selected from May 2011 to August 2015 in Puning Overseas Chinese Hospital,and 24 patients were given the low gas abdominal laparoscopic treatment(laparoscopic group),while the other 22 patientswere given the abdominal treatment(open surgery group).The operative time,blood loss,postoperative anal exhaust time,postoperative pain and mean hospital stay time of patients in the two groups were observed;and the pregnancy outcome of patients in the two groupswas followed-up.Results Patients of the two groupswere successfully operated,there was no patients in the laparoscopic group converted to open surgery.The mean operative time,anal exhaust time,postoperative pain time and the average length of stay of the laparoscopic group were significantly less than those of the open surgery patients [(25.5±8.5)min vs(44.6±8.4)min,(19.8±7.2)h vs(42.1±7.9)h,(8.9±3.1)h vs(12.2±2.8)h,(6.6±2.4)d vs(11.5±2.5)d, P＜0.01],and the intraoperative blood losswas also less than the open surgery group[(28.2±8.8)ml vs(56.9±9.1)ml,P＜0.05],patientswere full-term birth,miscarriage and without newborn deformities;themean gestational age of the laparoscopic group was(38.2±2.8)weeks,and the open surgery group was(38.5±2.5)weeks,had no statistically significant difference(t=0.3820,P=0.7043);the average weight of neonatal patients in the laparoscopic group was(3.25±1.15)kg,the surgery group was(3.53±1.17)kg,had no statistically significant difference(t=0.8181,P=0.4177);Apgar score of the laparoscopic group was(8.7±1.3)points,the open surgery group was(8.9±1.1)min,also had no statistically significant difference(t=0.5606,P=0.5779).Conclusion Low gas abdominal laparoscopic can shorter the operative time,decrease the bleeding and postoperative recovery time in the treatment of ectopic gestation after IVF-ET,also with high safety,has clinical feasibility.

Key words： Laparoscopic Low gas abdominal IVF-ET Early pregnancy Ectopic gestation

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CHEN Xu-xuan. Viability of low gas abdom inal laparoscopic in the treatment of ectopic gestation after the IVF-ET[J]. 中国当代医药, 2016, 23(32): 93-95.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2016/V23/I32/93

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