| 摘要: |
| ［摘要］ 目的 探讨分析阴式手术治疗输卵管妊娠的手术技巧。方法 回顾分析52例阴式手术治疗输卵管妊娠的手术情况,统计手术时间、术中出血量、最高体温、术后白细胞计数（WBC）、术后肛门排气时间、住院时间、住院费用等情况。结果 52例手术均成功完成。手术时间（44±13.4）min,术中出血量（34±6.6）ml，肛门排气时间(14.2±3.4)h，最高体温(37.3±0.3)℃，术后血白细胞计数（9.5±1.5）×109/L，住院时间（4.5±1.3）d，住院费用（3502.8±356.8）元。术后血绒毛膜促性腺激素（HCG）随访,平均降至正常时间为（10.6±2.4）d，术后1个月输卵管通液通畅率为81.8%(9/11)。结论 阴式手术治疗输卵管妊娠在达到治疗效果的前提下使用微创治疗,患者损伤更小,恢复更快,费用更低。 |
| 关键词: 阴式手术 输卵管妊娠 手术技巧 微创 |
| DOI：10.3969/j.issn.1674-3806.2012.05.10 |
| 分类号:R 714.22+1 |
| 基金项目:广西卫生厅科研课题（编号：Z2010013） |
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| Clinical analysis on transvaginal operation of 52 cases of tubal pregnancy and summary of operation skills |
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HUANG Er-hong,SU Li-ming
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Population and Family Planning Research Center of Guangxi, Nanning 530021,China
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| Abstract: |
| ［Abstract］ Objective To summarize and analyze the operation skills of transvaginal operation for tubal pregnancy.Methods The surgical treatment conditions of 52 cases of tubal pregnancy undergoing transvaginal operation were retrospectively analyzed.The operation time, intraoperative blood loss, postoperative body temperature, white blood cellcount( WBC ),postoperative anal exhaust time, postoperative hospital stay, hospital costs, and so on were observed.Results Fifty-two patients were operated successfully. The operative time was (44±13.4) min,intraopcroctive blood loss (34 ± 6.6)ml, anal exhaust time (14.2±3.4)h, maximum temperature (37.3 ± 0.3)℃, postoperative blood was (9.5±1.5)×109/L, length of stay (4.5 ± 1.3)d, hospitalization costs (3502.8±356.8)yuan (RMB). The average time of serum HCG dropping to normal was (10.6±2.4)days, At 1 month after operation tubal patency rate was 81.8%(9/11).Conclusion Under the premise of obtained therapentic effect transvaginal operation for tubal pregnancy has aolvantages of minimally invasion, quicker recovery, lower cost and so on. |
| Key words: Trans vaginal operation Tubal pregnancy Operation skills Minimally invasion |
