摘要
目的:分析腹腔镜下输卵管妊娠保守性手术后持续性异位妊娠的因素。方法:对2010年1月～2011年1月145例输卵管妊娠腹腔镜下保守性手术患者进行回顾性分析。结果:145例输卵管妊娠腹腔镜下保守性手术患者中发生PEP者19例,发生率为13.1%。PEP组有异位妊娠史者明显高于非PEP组(P<0.05),住院时间长于非PEP组(P<0.05),术前β-HCG水平明显高于非PEP组,黄体切除率明显低于非PEP组,盆腔粘连发生率明显高于非PEP组(P<0.05),而两组年龄、停经时间和包块直径方面比较差异无统计学意义(P>0.05)。结论:输卵管妊娠腹腔镜保守性手术后PEP的发生与患者的异位妊娠史、术前血β-HCG水平、黄体切除和盆腔粘连密切相关,术后监测血β-HCG水平的变化有利于早期发现和预防PEP的发生。
Objective：To analyze the factors of persistent ectopic pregnancy（PEP） after laparoscopic conservative surgery tubal pregnancy. Methods：From January 2010 to January 2011,145 cases with persistent ectopic pregnancy after laparoscopic conservative surgery tubal pregnancy were respectively analyzed. Results：Among 145 cases with persistent ectopic pregnancy after laparoscopic conservative surgery tubal pregnancy,19 cases were PEP patients and the incidence of PEP was 13.1%.The incidence of ectopic pregnancy history in PEP group was significantly higher than that in non PEP group（P〈0.05）,hospitalization time were significantly longer than that in non PEP group（P〈0.05）,preoperation β-HCG levels were significantly higher than that in non PEP group（P〈0.05）,corpus luteum removal rate was significantly lower than that in non PEP group（P〈0.05）,pelvic adhesions rate was significantly higher than that in non PEP group（P〈0.05）.There were no significant differences in age,menopause time and mass diameter between two groups（P〉0.05）. Conclusion：There is a significant relationship between PEP after laparoscopic conservative surgery tubal pregnancy and ectopic pregnancy history,preoperation β-HCG levels,corpus luteum removal rate and pelvic adhesions rate.And β-HCG level monitoring after operation is good for the early detection and prevention.
出处
《中国妇幼保健》
CAS
北大核心
2011年第26期4139-4141,共3页
Maternal and Child Health Care of China
关键词
输卵管妊娠保守性手术
持续性异位妊娠
因素
Laparoscopic conservative surgery tubal pregnancy
~Persistent ectopic pregnancy
Factor
