输卵管妊娠保守性手术中缝扎输卵管系膜血管外加出血处填塞可吸收明胶海绵临床效果.docVIP

精品论文 参考文献 输卵管妊娠保守性手术中缝扎输卵管系膜血管外加出血处填塞可吸收明胶海绵临床效果 谭碧莲 成都市蒲江县妇幼保健院 611630 　　摘要：目的：输卵管妊娠保守性手术中缝扎输卵管系膜血管临床效果。方法：选取我院2014年2月-2015年2月收治的100例采取输卵管妊娠保守性手术患者作为本次研究的对象，随机分为两组，n=50，两组患者均采用腹腔镜将输卵管内妊娠物取出，观察组在取出前进行缝扎输卵管系膜血管，对照组取出前不做任何处理，对比两组临床效果。结果：观察两组的术中出血量和术后输卵管通畅率，观察组均和对照组存在明显差异，结果具有统计学意义（Pgt;0.05）。观察组两组术后持续妊娠例数、HCG恢复到正常值的平均时间、术后雌激素与孕酮值，观察组和对照组没有明显差异，结果没有统计学意义（Pgt;0.05）。结论：对行输卵管妊娠保守性手术患者采用缝扎输卵管系膜血管临床效果显著，有效降低了术中出血量，提高了输卵管通畅率，值得在临床上推广使用。 　　关键词：输卵管妊娠保守性手术；缝扎输卵管系膜血管；临床效果 　　[Abstract]Objective: tubal pregnancy conservative film vascular surgery clinical results tubal ligation. Methods: A hospital in February 2014 - February 2015 treated 100 cases of patients taking tubal pregnancy conservative surgery as the object of this study were randomly divided into two groups, n = 50, two patients were treated with laparoscopy tubal pregnancy was taken out, the observation group were sutured before removing mesosalpinx vessels, before removing the control group received no treatment, compared two groups of clinical results. Results: The two groups of blood loss and postoperative tubal patency rate in the observation group and the control group were significantly different, the results were statistically significant (Pgt; 0.05). Postoperative observation group the number of cases continued pregnancy, HCG average time to return to normal postoperative no estrogen and progesterone, the observation group and the control group was significantly different, the result was not statistically significant (Pgt; 0.05). Conclusions: Patients with tubal pregnancy conservative surgery using suture mesosalpinx vascular significant clinical effect, effectively reducing the amount of bleeding and improve the tubal patency rate and should be introduced in clinical practice. 　　[Keywords] Tubal pregnancy conservative surgery, Tubal ligation, The clinical effect 　　异位妊娠，是指的非宫腔内正常妊娠，是孕龄期女性的一种常见疾病[1]。是孕卵在宫腔以外的位置着床发育的妇科性疾病，常见的位置是发生在输卵管部位。在妇科中异位妊娠是一种较为危险的急腹症，当出现输卵管妊娠流产或者破裂的时候，会引起严重的腹腔内严重出血的情况，在出现病症时如不及时救治容易出现的出血