Clinical observation of tubal pregnancy treated by medicine water pressure embryo separation (58 cases)
10.3969/j.issn.1007-1989.2016.06.025
- VernacularTitle:药物水压胚胎分离法腹腔镜手术治疗输卵管妊娠58例疗效观察
- Author:
Ju YANG
;
Jianming CHEN
;
Guohong WANG
- Keywords:
tubal pregnancy;
treatment;
laparoscopic conservative surgery;
drug water pressure separation
- From:
China Journal of Endoscopy
2016;22(6):101-103
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the safety and efficacy of the conservative laparoscopic operation in treatment of tubal pregnancy by drug water pressure embryo separation. Method 58 cases with tubal pregnancy without rup-ture, the first focus on internal injection of MTX dilution 5 ml to 3 ml, and then to the near corner of the uterus in-jection of 3 ml MTX dilution, and then the line to retain the fallopian tube laparoscopic embryo removal. Results After 2 weeks, the blood β-HCG was monitored, and the average follow-up was 18 months. There was no persistent ectopic pregnancy, the fallopian tube was unobstructed, 22 cases were married of 16 cases (72.73 %) in the in-trauterine pregnancy. Conclusion Separation of ectopic pregnancy and proximal tubal MTX injection method laparo-scopic conservative surgery in the treatment of fallopian tube pregnancy by methotrexate (MTX) dilution water pres-sure, curative effect is exact, retained the fallopian tube of the normal anatomy and physiological function treatment of tubal pregnancy is safe and effective method.
