腹腔镜输卵管妊娠保守性手术后持续性异位妊娠的处理方式研究

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Abstract ObjectiveTo investigate the clinical effect of two different kinds of treatment in the prevention of persistent ectopic pregnancy after conservative operation of laparoscopic fallopian tube pregnancy.MethodsForty patients with tubal pregnancy underwent laparoscopic conservative surgery from June 21,2015 to August 25,2017 were divided into two groups according to different treatment methods,20 cases in each group.The patients in the observation group were injected with MTX of the tubal mesangial MTX during the removal of the tubal pregnancy lesion,while the control group was treated with MTX postoperative muscle injection.The operation time,intraoperative blood loss and the time of postoperative blood β-HCG level reduced to normal and postoperative complications of persistent ectopic pregnancy were compared.ResultsThe operation time of the observation group was higher than that of the control group,the difference was statistically significant(P＜0.05).The time of postoperative blood β-HCG level reduced to normal in the observation group was shorter than that in the control group,the difference was statistically significant(P＜0.05).The intraoperative blood loss was compared between the two groups,and the difference was not statistically significant(P＞0.05).The postoperative complications of persistent ectopic pregnancy in the observation group was lower than that in the control group,the difference was statistically significant(P＜0.05).ConclusionThe effect of MTX injection on tubal mesentery in the treatment of tubal pregnancy is effective,which can effectively remove residual trophoblast cells and promote the return of blood β-HCG level to normal value.It is worthy to be applied and popularized clinically.

Key words： Treatment Prevention Laparoscopy Tubal pregnancy Ectopic pregnancy

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Cite this article:

LIAO Can. Study on treatment of persistent ectopic pregnancy after conservative operation of laparoscopic tubal pregnancy[J]. 中国当代医药, 2017, 24(34): 96-98.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2017/V24/I34/96

[1]	陈益珊，陈少虹，赖文妹.输卵管妊娠腹腔镜下保守性手术后持续性异位妊娠19例临床分析[J].海南医学，2016，27（4）：639-640.
[2]	许翠娇，莫小余.化瘀止血汤、多点预注射垂体后叶素联合MTX对腹腔镜输卵管妊娠保守性手术出血的影响[J].内蒙古中医药，2017，36（9）：58-59.
[3]	李景真.输卵管妊娠腹腔镜保守性手术后持续性异位妊娠的相关因素分析[J].滨州医学院学报，2015，5（5）：385-386.
[4]	宋菁华，王克芳，张军，等.腹腔镜输卵管妊娠保守性手术后发生持续性异位妊娠的多因素分析[J].中国微创外科杂志，2016，16（8）：677-680.
[5]	杨蕾，江小荣，杨德柱.腹腔镜下不同保守性手术方式治疗输卵管不同部位妊娠98例[J].长江大学学报（自科版），2016，13（18）：36-38.
[6]	崔芳，徐珊，史红，等.甲氨蝶呤不同给药方法联合腹腔镜手术治疗输卵管妊娠[J].中华医学杂志，2015，95（45）：3663-3666.
[7]	曾玉华，周洪贵，李雪，等.腹腔镜下输卵管壶腹部妊娠保守性手术输卵管不同切口的比较[J].中国微创外科杂志，2016，16（2）：114-117.
[8]	吴晓兰，郑高明.改良腹腔镜异位妊娠术在保留生育功能治疗中的应用价值[J].中国内镜杂志，2015，21（9）：959-961.
[9]	彭莉云.垂体后叶素联合甲氨蝶呤在腹腔镜辅助下输卵管妊娠保守手术中的应用分析[J].江西医药，2016，51（8）：815-817.
[10]	张国琼.甲氨蝶呤联合米非司酮治疗异位妊娠的作用探讨[J].河北医学，2015，21（8）：1439-1441.
[11]	元建伟.腹腔镜与传统开腹手术治疗异位妊娠的疗效分析[J].中国医药导刊，2015，17（4）：328-329.
[12]	王小兰，李广太，杨蓓.甲氨蝶呤联合米非司酮治疗异位妊娠的效果分析[J].西部医学，2015，27（5）：765-767.
[13]	朱琴.米非司酮联合甲氨蝶呤保守治疗异位妊娠的疗效分析[J].中国妇幼保健，2015，30（10）：1506-1508.
[14]	曹立萍，李彩霞，王冬霞.腹腔镜手术治疗与药物保守性治疗异位妊娠的临床对比分析[J].中国妇幼保健，2015，30（24）：4176-4178.
[15]	陈义波.三种处理方式在预防腹腔镜输卵管妊娠保守性手术后持续性异位妊娠中的效果探讨[J].中国现代医学杂志，2014，24（3）：71-73.