微创医学

目的探讨腹腔镜下垂体后叶素注射治疗输卵管间质部妊娠的临床疗效。方法在我院接受治疗的输卵管间质部妊娠患者63例，分为观察组（33例）和对照组（30例）。观察组在病灶周围注射垂体后叶素后,沿病灶周围行荷包缝合后切开取出胚胎；对照组不用垂体后叶素，其余步骤同观察组。比较两组手术时间、术中出血量、术后血HCG转阴时间及持续性异位妊娠发生等情况。结果63例患者均在腹腔镜下完成手术。观察组手术时间、术中出血量明显少于对照组，差异有统计学意义（P＜0.05）。两组血HCG转阴时间比较，差异无统计学意义（P＞0.05）。两组均无持续性异位妊娠发生。结论腹腔镜下垂体后叶素注射治疗输卵管间质部妊娠，能明显缩短手术时间，减少术中出血量，是一种安全有效的止血方法。

ObjectiveTo investigate the clinical effect of laparoscopic hypophysin injection in the treatment of tubal interstitial pregnancy. MethodA total of 63 cases of interstitial tubal pregnancy were divided into observation group(33 cases) and control group(30 cases). Patients in observation group were injected with the pituitary posterior lobe around the lesion, and the incision was performed after the peripheral line of the lesion. Patients in control group were treated under the same steps with the observation group, but without hypophysin. The operation time, blood loss, postoperative blood HCG conversion time and the incidence of persistent ectopic pregnancy. ResultBoth the 63 cases were performed laparoscopic surgery. The operation time and the amount of bleeding in the observation group were significantly less than those in the control group, the difference was statistically significant (P＜0.05). There was no significant difference between the two groups in postoperative blood HCG conversion time (P＞0.05). No persistent ectopic pregnancy occurred in the two groups. ConclusionLaparoscopic hypophysin injection in treatment of tubal interstitial pregnancy can significantly shorten the operation time and reduce the amount of bleeding during operation, is a safe and effective way to stop bleeding.