ObjectiveTo investigate the effectiveness of the tubal reconstruction after laparoscopic tubal pregnancy operation by comparing with simple laparoscopic tubal pregnancy operation. MethodsBetween May 2007 and May 2010, 63 patients with tubal pregnancy underwent laparoscopic tubal pregnancy operation and tubal reconstruction in 30 cases (trial group) or simple laparoscopic tubal pregnancy operation in 33 cases (control group). There was no significant difference in age, pregnancy time, and position between 2 groups (P gt; 0.05). The tube patency test and hysterosalpingography (HSG) were carried out to evaluate the efficacy. ResultsThe operation was successfully completed in 29 cases of trial group; 1 case had too severe adhesion to receive re-anastomosis and was excluded. The tube patency test showed that the tube was patency in 26 cases of trial group and in 2 cases of control group during operation, showing significant difference (Z=5.86, P=0.00); it was patency in 25 cases of trial group and in 26 cases of control group at 1 month after operation, showing no significant difference (Z=0.48, P=0.63). HSG examination showed tube was patency in 25 cases of trial group and in 2 cases of control group at 2 months after operation, showing significant difference (Z=5.35, P=0.00). After 24 months, intrauterine pregnancy of trial group (n=25, 86.20%) was significantly higher than that of control group (n=19, 57.58%) (χ2=7.72, P=0.01). ConclusionThe reconstruction after laparoscopic tubal pregnancy operation can significantly increase the intrauterine pregnancy rate, and it is better than simple laparoscopic tubal pregnancy operation.
Citation：
NIU Jianfeng,CUI Xiaomin,WAN Xiangna,ZHANG Kewei.. CLINICAL APPLICATION OF TUBAL RECONSTRUCTION AFTER LAPAROSCOPIC TUBAL PREGNANCY OPERATION. Chinese Journal of Reparative and Reconstructive Surgery, 2012, 26(9): 1088-1090. doi:
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Copyright © the editorial department of Chinese Journal of Reparative and Reconstructive Surgery of West China Medical Publisher. All rights reserved
| 1. |
李光仪．实用妇科腹腔镜手术学．北京: 人民卫生出版社, 2006: 401-402．.
|
| 2. |
王红英, 田春. 腹腔镜保守手术治疗异位妊娠. 中国微创外科杂志, 2008, 8(10): 922-923.
|
| 3. |
方小玲, 张玮, 魏颖颖. 结扎术后输卵管二次吻合术六例临床分析. 中国修复重建外科杂志, 2007, 21(3): 321-322.
|
| 4. |
牛剑峰, 李燕. 宫外孕保守性手术新途径——显微镜下输卵管吻合21例临床分析. 中国妇产科临床杂志, 2006, 7(5): 373.
|
| 5. |
周洪友, 郑红枫, 吕伟超. 腹腔镜下输卵管吻合术的临床应用探讨. 实用妇产科杂志, 2010, 26(3): 228-229.
|
| 6. |
翟乃良, 刘霞, 赵静, 等. 腹腔镜输卵管吻合术27例分析. 中国微创外科杂志, 2008, 8(11): 1013-1014.
|
| 7. |
章汉旺. 改良式腹腔镜输卵管吻合术. 中国微创外科杂志, 2005, 5(10): 833-834, 840.
|
| 8. |
陈爱萍. 腹腔镜下输卵管吻合68例临床分析. 中国妇幼保健, 2012, 27(6): 928-930.
|
| 9. |
关菁, 沈浣, 韩红敬, 等. 腹腔镜输卵管吻合术: 附32例临床分析. 中国妇产科临床杂志, 2007, 8(4): 252-255.
|
| 10. |
Advincula AP, Falcone T. Lapamscopic robotic gynecologic surgery. Obstet Gynecol Clin Noah Am, 2004, 31(3): 599-609．.
|
| 11. |
Cha SH, Lee MH, Kim JH, et al．Fertility outcome after tubal anastomosis by laparoscopy and laparotomy．J Am Assoc Gynecologic Laparosc, 2001, 8(3): 348-352．.
|
| 12. |
Vlahos NF, Banrowsk BJ, King JA, et al. Laparoscopic tubal reanastomosis using robotics: experience from a teaching institution. J Laparoendosc Adv Surg Tech A, 2007, 17(2): 180-185.
|
| 13. |
Ribeiro SC, Tormena RA, Giribela CG, et al. Laparoscopic tubal anastomosis. Int J Gynecol Obstet, 2004, (84): 142-146.
|
| 14. |
刘新民. 妇产科手术学. 3版. 北京: 人民卫生出版社, 2003: 1147-1148.
|
- 1. 李光仪．实用妇科腹腔镜手术学．北京: 人民卫生出版社, 2006: 401-402．.
- 2. 王红英, 田春. 腹腔镜保守手术治疗异位妊娠. 中国微创外科杂志, 2008, 8(10): 922-923.
- 3. 方小玲, 张玮, 魏颖颖. 结扎术后输卵管二次吻合术六例临床分析. 中国修复重建外科杂志, 2007, 21(3): 321-322.
- 4. 牛剑峰, 李燕. 宫外孕保守性手术新途径——显微镜下输卵管吻合21例临床分析. 中国妇产科临床杂志, 2006, 7(5): 373.
- 5. 周洪友, 郑红枫, 吕伟超. 腹腔镜下输卵管吻合术的临床应用探讨. 实用妇产科杂志, 2010, 26(3): 228-229.
- 6. 翟乃良, 刘霞, 赵静, 等. 腹腔镜输卵管吻合术27例分析. 中国微创外科杂志, 2008, 8(11): 1013-1014.
- 7. 章汉旺. 改良式腹腔镜输卵管吻合术. 中国微创外科杂志, 2005, 5(10): 833-834, 840.
- 8. 陈爱萍. 腹腔镜下输卵管吻合68例临床分析. 中国妇幼保健, 2012, 27(6): 928-930.
- 9. 关菁, 沈浣, 韩红敬, 等. 腹腔镜输卵管吻合术: 附32例临床分析. 中国妇产科临床杂志, 2007, 8(4): 252-255.
- 10. Advincula AP, Falcone T. Lapamscopic robotic gynecologic surgery. Obstet Gynecol Clin Noah Am, 2004, 31(3): 599-609．.
- 11. Cha SH, Lee MH, Kim JH, et al．Fertility outcome after tubal anastomosis by laparoscopy and laparotomy．J Am Assoc Gynecologic Laparosc, 2001, 8(3): 348-352．.
- 12. Vlahos NF, Banrowsk BJ, King JA, et al. Laparoscopic tubal reanastomosis using robotics: experience from a teaching institution. J Laparoendosc Adv Surg Tech A, 2007, 17(2): 180-185.
- 13. Ribeiro SC, Tormena RA, Giribela CG, et al. Laparoscopic tubal anastomosis. Int J Gynecol Obstet, 2004, (84): 142-146.
- 14. 刘新民. 妇产科手术学. 3版. 北京: 人民卫生出版社, 2003: 1147-1148.
