Glucose irrigation for dissection surface hemostasia in laparoscopic conservative treatment of tubal pregnancy
- VernacularTitle:葡萄糖溶液冲洗剥离面止血在腹腔镜保守治疗输卵管妊娠的价值
- Author:
Xiaoqin LIAN
;
Qiang CHEN
- Publication Type:Journal Article
- Keywords:
Laparoscopy;
Tubal pregnancy;
Hemostasis
- From:
Chinese Journal of Minimally Invasive Surgery
2001;0(02):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the value of 5% glucose irrigation for dissection surface hemostasis in laparoscopic conservative treatment of tubal pregnancy. Methods Clinical parameters including numbers of failure in oviduct sparing, the postoperative intraperitoneal bleeding, persistent pregnancy, recurrent tubal pregnancy on the same side and normal uterine pregnancy were compared between the Experimental Group (glucose irrigation for dissection surface hemostasis; 43 cases) and the Control Group (unipolar electrocogulation hemostasis; 43 cases). Results We failed to reserve the oviduct in 10 patients in the Control Group (10/43, 23%) and in no patients in the Experimental Group (0/43) ( ? 2 =11 316, P =0 001). Recurrent tubal pregnancy on the same side was observed in 2 cases in the Control Group (2/34, 6%) and in no cases in the Experimental Group (0/34), without significant differences ( P =0 175). No postoperative intraperitoneal bleeding or persistent pregnancy was seen in both of the groups. Normal uterine pregnancy rates were 44 1% (15/34) in the Experimental Group and 40.0% (10/25) in the Control Group, without significant differences between the two groups ( ? 2 =0 100, P =0 752). Conclusions Use of 5% glucose irrigation is superior to electrocogulation for dissection surface hemostasis in the treatment of tubal pregnancy.
