Choose on the laparoscopic treatment of tubal pregnancy surgical（腹腔镜治疗输卵管妊娠的手术选择）.doc

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2017-09-05 发布于浙江
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Choose on the laparoscopic treatment of tubal pregnancy surgical（腹腔镜治疗输卵管妊娠的手术选择）.doc

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Choose on the laparoscopic treatment of tubal pregnancy surgical（腹腔镜治疗输卵管妊娠的手术选择）

Choose on the laparoscopic treatment of tubal pregnancy surgical : Song Tao Wang Yanjun Zhao Su Lu Hou Lingling [Keywords:] laparoscopy; tubal pregnancy; treatment outcomes With the wide application of laparoscopic techniques in gynecology, laparoscopic surgery for ectopic pregnancy has largely replaced open surgery commonly used in laparoscopic treatment of tubal pregnancy, salpingectomy and tubal fenestration take fetal surgery for two choice of surgical approach, there is no unified or accepted standards at all levels of the hospital gynecologist mostly according to their preferences or proficiency in the choice of procedure .2005 June 2009, January, our hospital with abdominal mirror salpingectomy and tubal window to take fetal surgery in the treatment of tubal pregnancy patients of 215 cases, this paper reviews clinical data, compare the advantages and disadvantages of surgical procedures to provide patients with more personalized service. 1 clinical data 1.1 General Information 215 cases of tubal pregnancy patients, aged from 20 to 41 years old (25.3 + -4.6) years, with an average 126 cases of laparoscopic tubal resection, tubal window to take the 89 cases of fetal surgery all patients had no surgical contraindications, and both confirmed by surgery and pathologic examination. 1.2 Procedures All patients had surgery under endotracheal intubation + intravenous anesthesia and routine preoperative preparation, sterile draping, in the umbilical round edge of the transverse skin incision of about 1 cm in the Veress needle aspiration into the abdominal cavity, the formation of artificial pneumoperitoneum, abdominal pressure of 1.86 kPa. trocar puncture into the abdominal cavity into the laparoscopic lens, microscope, respectively the left and right both sides of the anterior superior iliac spine within about 5 cm above the lateral skin incision of approximately of 0.5, 1.0, cm trocar puncture into the abdominal cavity, into the operating