[1]曾玉华*,冉伟,刘胜凤,等.腹腔镜下输卵管间质部妊娠切开取胚手术16例临床分析[J].中国计划生育和妇产科,2017,(2):43-45.
　ZENG Yu-hua*,RAN Wei,LIU Sheng-feng,et al.Clinical analysis of laparoscopic cornuostomy for 16 patients with interstitial pregnancy[J].Chinese Journal of Family Planning & Gynecotokology,2017,(2):43-45.
点击复制

腹腔镜下输卵管间质部妊娠切开取胚手术16例临床分析
分享到：

《中国计划生育和妇产科》[ISSN:1674-4020/CN:51-1708/R]

卷:
期数:
2017年2期
页码:
43-45
栏目:
论著与临床
出版日期:
2017-02-25

文章信息/Info

Title:
Clinical analysis of laparoscopic cornuostomy for 16 patients with interstitial pregnancy
作者:
曾玉华* ; 冉伟; 刘胜凤; 瞿大成; 周洪贵; 王琪
四川南充川北医学院附属医院
Author(s):
ZENG Yu-hua* ; RAN Wei; LIU Sheng-feng; QU Da-cheng; ZHOU Hong-gui; WANG Qi
Department of Obstetrics and Gynecology, Affiliated Hospital of North Sichuan Medical College, Nanchong Sichuan 637000,P.R.China
关键词:
输卵管间质部妊娠; 腹腔镜手术; 间质部妊娠切开取胚术
Keywords:
interstitial pregnancy;  laparoscopic operation;  cornuostomy
分类号:
R 714.2
摘要:
目的探讨腹腔镜下输卵管间质部妊娠切开取胚保守性手术治疗的临床价值。方法回顾性分析2013年1月至2016年1月川北医学院附属医院收治的腹腔镜下输卵管间质部妊娠切开取胚保守性手术治疗16例患者的临床资料。结果16例手术全部成功，无1例中转开腹，无术中术后并发症发生，手术时间28~83 min，平均46 min。术后住院2~4 d，平均 35 d。结论腹腔镜下输卵管间质部妊娠切开取胚保守性手术是安全可行的。
Abstract:
ObjectiveTo study the clinical value and surgical procedure of laparoscopic cornuostomy for interstitial pregnancy. MethodsClinical data of 16 patients of interstitial pregnancy treated by laparoscopic cornuostomy were retrospectively analyzed. ResultsAll 16 patients were operated successfully, without conversions to laparotomy and intraoperative or postoperative complications. The operation time was 28~83 min(mean, 46 min), and the length of stay in hospital postoperation was 2~4 d (mean, 35 d). ConclusionLaparoscopic cornuostomy for interstitial pregnancy is safe and feasible.

参考文献/References:

［1］BOUYER J, COSTE J, FERNANDEZ H, et al. Sites of ectopic pregnancy: a 10 year population-based study of 1800 cases ［J］. Human Reproduction (Oxford, England), 2002, 17(12): 3224-3230. ［2］乔杰，王丽娜辅助生殖技术中异位妊娠的特点及处理 ［J］现代妇产科进展，2008，17（6）：203-204 ［3］TIMOR-TRITSCH I E, MONTEAGUDO A, MATERNA C, et al. Sonographic evolution of cornual pregnancies treated without surgery ［J］. Obstetrics and Gynecology, 1992, 79(6): 1044–1049. ［4］FILHASTRE M, DECHAUD H, LESNIK A, et al. Interstitial pregnancy: role of MRI ［J］. European Radiology, 2005, 15(1): 93-95. ［5］ARAUJO JUNIOR E, ZANFORLIN FILHO S M, PIRES C R, et al. Three-dimensional transvaginal sonographic diagnosis of early and asymptomatic interstitial pregnancy ［J］. Archives of Gynecology and Obstetrics, 2007, 275(3): 207-210. ［6］MOON H S, CHOI Y J, PARK Y H, et al. New simple endoscopic operations for interstitial pregnancies ［J］. American Journal of Obstetrics and Gynecology, 2000, 182(1): 114-121. ［7］SU Chi-feng, TSAI H J, DEN CHEN G, et al. Uterine rupture at scar of prior laparoscopic cornuostomy after vaginal delivery of a full-term healthy infant ［J］. Journal of Obstetrics and Gynaecology Research, 2008, 34(4 Pt 2): 688-691. ［8］NISHIJIMA Y, SUZUKI T, KASHIWAGI H, et al. Uterine rupture at 26 weeks of pregnancy following laparoscopic salpingectomy with resection of the interstitial portion: a case report ［J］. The Tokai Journal of Experimental and Clinical Medicine, 2014, 39(4): 169-171. ［9］Weissman A， Fishman A. Uterine rupture following conservative surgery for interstitial pregnancy［J］. Eur J Obstet Gynecol Reprod Biol. 1992; 44(3): 237-239. ［10］曾玉华，周洪贵，李雪，等腹腔镜下输卵管壶腹部妊娠保守性手术输卵管不同切口的比较 ［J］中国微创外科杂志，2016，16（2）：114-117

相似文献/References:

[1]王丽,方妍萍.腹腔镜手术治疗异位妊娠47例临床分析[J].中国计划生育和妇产科,2009,(06):0.
　WANG Li,FANG Yan-ping.[J].Chinese Journal of Family Planning & Gynecotokology,2009,(2):0.
[2]李明,钱萍,陈德新,等.腹腔镜监视下经阴道剥除宫颈阴道上部肌瘤[J].中国计划生育和妇产科,2009,(06):0.
　LI Ming,QIAN Ping,CHEN De-xin.[J].Chinese Journal of Family Planning & Gynecotokology,2009,(2):0.
[3]蒋小平,严建耀,王经玮,等.腹腔镜手术治疗妇科急腹症的应用体会——附241例病例分析[J].中国计划生育和妇产科,2010,(03):0.
　JIANG Xiao-ping,YAN Jian-yao,WANG Jing-wei.[J].Chinese Journal of Family Planning & Gynecotokology,2010,(2):0.
[4]文朝霞,侯宇.腹腔镜手术剥离卵巢成熟畸胎瘤的临床分析[J].中国计划生育和妇产科,2011,(02):0.
　WEN Zhao-xia,HOU Yu ..[J].Chinese Journal of Family Planning & Gynecotokology,2011,(2):0.
[5]马慧芬,曾淑华,张锦秀,等.输卵管残端妊娠合并宫内妊娠1例报道[J].中国计划生育和妇产科,2011,(05):0.
[6]黄静.腹腔镜联合药物治疗卵巢子宫内膜异位症囊肿105例疗效分析[J].中国计划生育和妇产科,2012,(04):0.
　HUANG Jing.[J].Chinese Journal of Family Planning & Gynecotokology,2012,(2):0.
[7]聂华.腹腔镜手术治疗深部浸润型子宫内膜异位症的临床分析[J].中国计划生育和妇产科,2015,(02):0.
　NIE-Hua,[J].Chinese Journal of Family Planning & Gynecotokology,2015,(2):0.
[8]陈燕妹,张娟.不同手术方式治疗宫颈癌的临床疗效观察[J].中国计划生育和妇产科,2015,(06):0.
　CHEN Yan-mei,ZHANG Juan,[J].Chinese Journal of Family Planning & Gynecotokology,2015,(2):0.
[9]陶蓉,姜向阳.格拉司琼预防和治疗妇科腹腔镜手术术后恶心呕吐的临床研究[J].中国计划生育和妇产科,2015,(06):0.
　TAO Rong,JIANG Xiang-yang,Gynecology.[J].Chinese Journal of Family Planning & Gynecotokology,2015,(2):0.
[10]尹玲,杨慧霞.妊娠期腹腔镜手术相关问题探讨[J].中国计划生育和妇产科,2016,(08):0.
[11]朱丽莉,曹莉莉,熊维,等.腹腔镜下子宫动脉临时阻断及宫角部缝扎后 切开取胚法治疗输卵管间质部妊娠1例报告[J].中国计划生育和妇产科,2020,(6):94.

更新日期/Last Update: 2017-02-25