Song Taejong, Kim Mi Kyoung, Kim Mi-La, Jung Yong Wook, Yoon Bo Sung, Seong Seok Ju
Department of Obstetrics and Gynecology, CHA Gangnam Medical Center, CHA University , Seoul, Republic of Korea.
J Laparoendosc Adv Surg Tech A. 2014 Sep;24(9):651-5. doi: 10.1089/lap.2014.0179. Epub 2014 Jul 25.
To present our initial experience with laparoscopic salpingotomy using the Floseal™ (Baxter International Corp., Deerfield, IL) hemostatic matrix for tubal pregnancy and to evaluate the efficacy and tubal patency after salpingotomy.
A prospective study was conducted on 20 consecutive patients with tubal pregnancy undergoing laparoscopic salpingotomy using the Floseal hemostatic matrix. The outcome measures were treatment success rates and homolateral patency rates.
Of 20 cases, 19 cases (95%) were successfully performed without any additional intervention, and 1 case was switched to salpingectomy during the initial surgery. During the mean β-human chorionic gonadotropin resolution time of 17.9±6.4 days, postoperative complications or persistent trophoblasts did not occur. Of 19 salpingotomy patients, only 12 patients received a tubal patency test using hysterosalpingography, and the homolateral tubal patency rate was 75% (9 of 12).
The use of Floseal allows laparoscopic salpingotomy to be performed successfully and easily with comparable outcomes.
介绍我们使用Floseal™（百特国际公司，伊利诺伊州迪尔菲尔德）止血基质进行腹腔镜输卵管切开术治疗输卵管妊娠的初步经验，并评估输卵管切开术后的疗效及输卵管通畅情况。
对20例连续接受使用Floseal止血基质的腹腔镜输卵管切开术治疗输卵管妊娠的患者进行前瞻性研究。观察指标为治疗成功率和同侧输卵管通畅率。
20例患者中，19例（95%）手术成功，无需任何额外干预，1例在初次手术时转为输卵管切除术。在平均β-人绒毛膜促性腺激素消退时间为17.9±6.4天期间，未发生术后并发症或持续性滋养细胞。19例接受输卵管切开术的患者中，仅12例患者进行了子宫输卵管造影术输卵管通畅试验，同侧输卵管通畅率为75%（12例中的9例）。
使用Floseal可使腹腔镜输卵管切开术成功且轻松地进行，疗效相当。
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