摘要
目的探讨垂体后叶素对腹腔镜输卵管切开取胚术患者预后的影响。方法输卵管妊娠且要求保留输卵管患者102例,随机分为两组:垂体后叶素组(n=55)在术中于患侧输卵管系膜内注射垂体后叶素进行预处理后再行输卵管切开取胚术;对照组(n=47)不做预处理,比较两组间手术时间、术中出血量、输卵管切除率、持续性异位妊娠率和输卵管通畅率等的差异。结果垂体后叶素组手术时间明显短于对照组,两组比较差异有统计学意义(P<0.01);垂体后叶素组出血量明显少于对照组,两组比较差异有统计学意义(P<0.01);垂体后叶素组输卵管切除与对照组比较差异有统计学意义(P<0.05);两组持续性异位妊娠率和输卵管通畅率差异无统计学意义。结论在腹腔镜输卵管切开取胚术中预先应用垂体后叶素止血效果显著,缩短了手术时间,有利于保护患者的生育功能,值得推广。
Objective To explore the effect of pituitrin on the prognosis of patients with laparoscope salpingotomy. Methods Laparoscope salpingotomy was performed for 102 cases of tubal pregnancy, among which 55 cases were in group A （ the pituitrin group） and the other 47 cases were in group B （ control group）. The patients in group A were injected with 6U pituitrin and 10mL NaCl of 0.9% concentration. Group B accepted local wound surface electrocoagulation. Results All the operations for the 102 cases were performed under laparoscope. The amount of bleeding during operation was （ 10.6 ± 8.5 ） mL for group A, and （ 48.2 ± 34.6 ） mL for group B. The operation time was （ 37.3 ± 6.8 ） minutes in group A and （58.8 ± 24.1 ） minutes in group B. The amount of bleeding in group A was significantly less than that of group B （ P 〈 0.01 ）. No case in group A and 6 cases in group B accepted salpingotomy （ P 〈 0. 05 ）. Conclusion The application of pituitrin to the patients with laparoscope salpingotomy is an effective method for hemostasis and can protect women＇s fertility.
出处
《中国急救医学》
CAS
CSCD
北大核心
2008年第12期1122-1124,共3页
Chinese Journal of Critical Care Medicine
