简介:摘要目的探讨分析持续性异位妊娠患者接受腹腔镜异位妊娠治疗的临床效果,对术后持续性异位妊娠进行预防。方法根据2012年9月至2014年9月我院的79例异位妊娠患者来分析研究,患者对此次研究知情且同意参与,为她们提供了腹腔镜输卵管切除手术治疗,对患者的临床治疗效果进行观察分析。结果腹腔镜输卵管切除手术对异位妊娠的治疗效果比较突出,术后有1例患者有持续性异位妊娠,手术成功率是98.7%。患者的平均手术时间是(51.2±13.6)min,术中平均出血量是(42.9±14.3)ml,术后平均下床活动时间是(9.8±2.2)h,平均肛门排气时间是(20.8±5.7)h,平均住院时间是(5.9±1.7)d。结论异位妊娠患者接受腹腔镜治疗的安全性和有效性均比较高,手术过程能够将妊娠物彻底清除,对患者术后的β-HCG浓度进行监控,注射甲氨蝶呤能够有效诊断持续性异位妊娠,为临床预防提供条件。
简介: 【摘要】目的:研究分析腹腔镜异位妊娠治疗效果,探讨术后持续性异位妊娠的预防措施。方法:此次研究的对象是选择我院 2015年 9月—— 2017年 9月 79例异位妊娠患者,将其临床资料进行回顾性分析,所有患者均在知情同意情况下实施腹腔镜输卵管切除手术治疗,观察并分析治疗效果。结果 腹腔镜输卵管切除术治疗异位妊娠,术后仅有 1例患者出现持续性异位妊娠,手术成功率达到 98.7%,结论:应用腹腔镜治疗异位妊娠,具有安全性和有效性,并且能够在手术过程中将妊娠物彻底清除干净。术后严密监测患者 β-HCG浓度,局部注射甲氨蝶呤,能够对持续性异位妊娠做出有效诊断,为预防工作奠定良好基础。 【关键词】腹腔镜手术;异位妊娠;持续性异位妊娠 Objective: To study and analyze the effect of laparoscopic ectopic pregnancy and explore the preventive measures for postoperative persistent ectopic pregnancy. Methods: the object of this study was to select 79 cases of ectopic pregnancy in September 2015 and September 2017 in our hospital. The clinical data were analyzed retrospectively. All patients were treated with laparoscopic oviduct resection under informed consent, and the therapeutic effect was observed and analyzed. Results in the treatment of ectopic pregnancy by laparoscopic salpingectomy, only 1 patients had persistent ectopic pregnancy, and the success rate was 98.7%. Conclusion: the application of laparoscopy in the treatment of ectopic pregnancy is safe and effective, and can clear the bottom of pregnancy in the operation process. After closely monitoring the concentration of the patient's beta -HCG and local injection of methotrexate, it can make an effective diagnosis of persistent ectopic pregnancy and lay a good foundation for the prevention work.