Mettler L, Semm K
Abteilung Frauenheilkunde, Christian-Albrechts-Universität zu Kiel.
Geburtshilfe Frauenheilkd. 1987 Oct;47(10):717-20. doi: 10.1055/s-2008-1036031.
Operative pelviscopy substitutes at the Department of Obstetrics and Gynecology, University of Kiel, laparotomy for the treatment of tubal pregnancy in ruptured and non-ruptured tubes. Tubectomy, as well as tubal incision with the extraction of the pregnancy product and consecutive suture of the tubes is possible by pelviscopy. All patients with conservative treated tubal pregnancy by pelviscopy are explained that remnants can remain; careful beta-hCG-measurements over a time of at least 14 days post operatively have to be performed. Pregnancy rates in patients with the desire to have children after the pelviscopic treatment reach the same level of success as after a treatment by laparotomy. The operation technique is for the patient less physically stress-full and leads to a faster healing process. The hospitalization time with this treatment is shortened to a maximum of 2-3 days.
基尔大学妇产科开展了手术性盆腔镜检查替代剖腹手术治疗输卵管妊娠破裂和未破裂病例。通过盆腔镜检查可进行输卵管切除术，以及切开输卵管取出妊娠产物并连续缝合输卵管。所有经盆腔镜保守治疗输卵管妊娠的患者都被告知可能会有残留物；术后至少14天必须仔细监测β - hCG。有生育意愿的患者经盆腔镜治疗后的妊娠率与剖腹手术治疗后的成功率相当。该手术技术对患者身体压力较小，愈合过程更快。这种治疗的住院时间最多缩短至2 - 3天。
