目的 评价腹腔镜下输卵管妊娠保守手术中创面电凝止血、缝合止血、缝合联合输卵管系膜注射垂体后叶素止血的疗效及优缺点.方法 回顾分析我院2006-08至2009-08收治输卵管妊娠实施腹腔镜下保守手术,其中腹腔镜输卵管妊娠保守手术创面电凝止血118例(A组)、创面缝合止血113例(B组)、创面缝合联合输卵管系膜注射垂体后叶素止血108例(C组)的临床资料(手术时间、术中出血量及术后输卵管通畅率).结果 C组手术时间为(31.21±3.65)min,手术时间最短,A组次之,为(36.13±2.82) min,B组最长,为(59.23±2.78) min.A组与B组、C组与B组间差异有统计学意义(P＜0.05),A组与C组间差异无统计学意义(P ＞0.05).A组与B组术中出血量差异无统计学意义(P ＞0.05),但明显多于C组(P ＜0.05).术后3个月造影患侧输卵管通畅率B组与C组间差异无统计学意义(P ＞0.05),B组、C组与A组间差异有统计学意义(P ＜0.05).持续性异位妊娠发生率3组间差异无统计学意义(P ＞0.05).结论 腹腔镜输卵管妊娠保守手术中的创面缝合联合输卵管系膜注射垂体后叶素止血法具有术中出血少,术野清晰,缩短手术时间,术后输卵管通畅率高的特点.%Objective To evaluate the advantages of electrecoagulation hemostasis, suture hemostasis and hypophysin injection into mesosalpinx combined with suture hemostasis through laparoscopic conservation surgery during tubal ectopic pregnancy (TP).Methods The clinic data of 339 TP patients, diagnosed between August 2006 to August 2009, were investigated in the study retrospeetively. These patients were were randomly divided into electrocoagulation hemostasis group ( group A), suture hemostasis group (group B) and hypophysin injection into mesosalpinx combined with suture hemostasis group( group C). Results The operation on group C lasted (31.21 ± 3.65 ) min, which took the least time. The difference between group A and group C was of no statistic significance. Nor was there any statistically significant difference in the bleeding amount during the operation. The results was apparently better in group C. Conclusions The treatment of TP with suture combined with hypophysin injection into mesosalpinx to stop bleeding in conservative surgery through the laparoscopy is pederable because of limited bleeding, clearer vision in the operation, less operating time and higher patency rate of oviducts after operation.
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