腹腔镜在异位妊娠异常部位的处理。
Laparoscopic management of ectopic pregnancies in unusual locations.
机构信息
Department of Obstetrics and Gynecology, Mackay Memorial Hospital and Mackay Medicine, Nursing and Management College, Taipei, Taiwan.
Department of Obstetrics and Gynecology, Mackay Memorial Hospital and Mackay Medicine, Nursing and Management College, Taipei, Taiwan.
出版信息
Taiwan J Obstet Gynecol. 2014 Dec;53(4):466-70. doi: 10.1016/j.tjog.2014.01.004.
OBJECTIVE
The aim of this study was to evaluate the feasibility and efficacy of laparoscopic surgery for patients with ectopic pregnancies in unusual locations.
MATERIALS AND METHODS
This is a retrospective case series of 31 patients from 6 weeks to 10 weeks postmenstrual who were referred for diagnosis and treatment and suspected of having an unruptured cesarean scar pregnancy (CSP) or cornual pregnancy (CP). The diagnosis was confirmed with transvaginal ultrasound, and all of the patients underwent laparoscopic management.
RESULTS
A diagnosis of CSP or CP was confirmed in all of the patients during the laparoscopic procedure. None of the patients required conversion to laparotomy. The total operative time ranged from 40 minutes to 120 minutes. The total blood loss was limited, ranging from 30 mL to 200 mL. All of the women tolerated the operation well and had uneventful recoveries.
CONCLUSION
When performed by a well-trained gynecologist, laparoscopy appears to be a reasonable alternative for the treatment of unruptured CSP or CP.
目的
本研究旨在评估腹腔镜手术治疗异位妊娠特殊部位患者的可行性和疗效。
材料和方法
这是一项回顾性病例系列研究，纳入了 31 名月经后 6 周至 10 周、因疑似未破裂剖宫产瘢痕妊娠（CSP）或宫角妊娠（CP）而就诊并接受诊断和治疗的患者。通过经阴道超声确诊，所有患者均行腹腔镜处理。
结果
所有患者在腹腔镜手术过程中均确诊为 CSP 或 CP。无一例患者需要转为开腹手术。总手术时间为 40 分钟至 120 分钟。总出血量有限，为 30 毫升至 200 毫升。所有患者均能很好地耐受手术，恢复顺利。
结论
由经验丰富的妇科医生施行时，腹腔镜似乎是治疗未破裂 CSP 或 CP 的合理选择。
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