异位妊娠与腹腔镜检查

Ectopic pregnancy and laparoscopy.

作者信息

Saranovic M, Vasiljevic M, Prorocic M, Macut N Djukic, Filipovic T

出版信息

Clin Exp Obstet Gynecol. 2014;41(3):276-9.

Abstract

PURPOSE

The aim of this study was to compare the success of surgical procedures performed by laparoscopy and laparotomy in the treatment of tubal ectopic pregnancy.

MATERIALS AND METHODS

In this prospective study, there were 57 women who were operated due to tubal ectopic pregnancy. Laparoscopic surgery was performed in 36 women (study group). Conventional abdominal surgical treatment was performed in 21 women (control group).

RESULTS

Among 36 women from study group, a laparoscopic linear salpingotomy was performed in 69.44% cases, salpingectomy in 13.88% cases, and milking of tube in 16.66% cases. In the control group, linear salpingotomy was performed in 57.14% cases, salpingectomy in 28.57% cases, and milking of tube in 14.28% cases. Patent ipsilateral fallopian tube at three months after surgery was 66.66% in the study group and 52.38% in the control group. The intrauterine pregnancy rate was 19.44% in the study group and 19.05% in the control group.

CONCLUSION

The percentage of tubal patency and intrauterine pregnancies after laparoscopical surgical treatment was not higher than after conventional surgical treatment by laparotomy.

摘要

目的

本研究旨在比较腹腔镜手术和开腹手术治疗输卵管异位妊娠的成功率。

材料与方法

在这项前瞻性研究中，有57名因输卵管异位妊娠而接受手术的女性。36名女性接受了腹腔镜手术（研究组）。21名女性接受了传统的腹部手术治疗（对照组）。

结果

研究组的36名女性中，69.44%的病例进行了腹腔镜下输卵管线性切开术，13.88%的病例进行了输卵管切除术，16.66%的病例进行了输卵管挤压术。对照组中，57.14%的病例进行了输卵管线性切开术，28.57%的病例进行了输卵管切除术，14.28%的病例进行了输卵管挤压术。术后三个月患侧输卵管通畅率研究组为66.66%，对照组为52.38%。研究组的宫内妊娠率为19.44%，对照组为19.05%。