输卵管妊娠应用悬吊式无气腹腹腔镜的临床干预研究.pdf

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1、·短篇论著·十一l药斜学2014年9月第4卷第17期薛夫营山东省泰安市中心医院产科，山东泰安271000【摘要】l

2、的研究输卵管妊娠应用悬吊式无气腹腹腔镜的临床干预疗效。方法临床组行双孔悬吊式无气腹腹腔镜实施开窗取胚术或输卵管切除术，气腹组行常规腹腔镜C02气腹下实施开窗取胚术或输卵管切除术。比照两组的手术耗时、失血量，术后排气时间、住院时间，并发症，评价两组实施开窗取胚术患者输卵管通畅率。结果所有患者手术顺利。临床组手术耗时显著少于气腹组。两组术后失血量、肛门排气时间及术后住院时间相比元显著差异。临床组术后疼痛发生

3、率显著低于气腹组。两组术后高热及皮下气肿发生率相比较无显著差异。临床组实施开窗取胚术的46例中，25例输卵管复畅、21例阻塞，故通畅率54．35％；气腹组实施开窗取胚术的47例中，16例输卵管复畅，3l例阻塞，故通畅率34．04％，临床组输卵管再通率显著高于气腹组。结论输卵管妊娠应用悬吊式无气腹腹腔镜疗效确切，可显著降低术后疼痛率，并且保留输卵管患者可有效提高其术后输卵管通畅率。【关键词】输卵管妊娠；无气腹腹腔镜；术后疼痛；输卵管通畅率【中图分类号】R713【文献标识码】B【文章编号】2095—0616(2014)1

4、7—36—04AStudyofclinicalinterventionofgaslesslapar0sc0pyinthetreatmentoftubalpregnanciesXUEF~vingDepartmentofObstetrics，CentralHospitalofTai’an，Tai’an271000，China【AbstractlObjectiveToexplorethecurativeeffectofclinicalinterventionofgaslesslaparoscopyinthetreatmen

5、toftubalpregnancies．MethodsTheclinicalgroupreceivedfenestrationoftakingembryoorsalping~ctomyviatwo—portgaslesslaparoscopy，andthepneumoperitoneumgroupreceivedfenestrationoftakingembryoorsalpingectomyviaregularlaparoscopyunderCO2pneumoperitoneum．Surgerytime，amoun

6、tofbleeding，timeofpassageofgas，hospitalizationtimeandcomplicationswerecomparedbetweenthetwogroups，andtubalpatencyrateofpatientsreceivingfenestrationoftakingembryowasevaluatedinthetwogroups．ResultsThesurgerywassuccessfulinallpatients．Surgerytimeintheclinicalgrou

7、pwassignificantlyshorterthanthatinthepneumoperitoneumgroup．Postoperativeamountofbleeding，timeofpassageofgasandhospitalizationtimewerenotsignificantlydifferentbetweenthetwogroups．Incidenceofpainintheclinicalgroupwassignificantlylowerthanthatinthepneumoperitoneum

8、group．Incidencesofpostoperativefeverandsubcutaneousemphysemawerenotsignificantlydifferentbetweenthetwogroups．25nf46patientsintheclinicalgroupreceivingfenestrationoftakingembryoachievedtubalpatency．21patientsshowedtubalobstruction，andthepatencyratewas54．35％；16of

9、47patientsinthepneumoperitoneumgroupreceivingfenestrationoftakingembryoachievedtubalpatency．31patientsshowedtubalobstruction．andthepatencyratewas34．O4％．Patencyrateintheclini