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目的:探讨垂体后叶素与催产素在腹腔镜下输卵管间质部妊娠术中止血效果。方法:选择67例血流动力学稳定的输卵管间质部妊娠为研究对象,行腹腔镜手术,其中35例(A组)行患侧输卵管切除和宫角切开取胚术前在病灶周围注射垂体后叶素6U加生理盐水10mL,32例(B组)行患侧输卵管切除和宫角切开取胚术前在病灶周围注射催产素20U加生理盐水10mL。结果:67例手术均在腹腔镜下完成。术中出血量:A组(42.6±7.7)mL,B组(64.2±18.0)mL;手术时间:A组(48.0±8.3)min,B组(64.8±21.6)min。A组缝合止血6例,B组缝合止血17例。A组出血量明显少于B组(P<0.05),手术时间较B组明显缩短(P<0.05)。结论:腹腔镜下输卵管间质部妊娠术中应用垂体后叶素止血比应用催产素止血效果要好。
Objective: To investigate the efficacy of pituitrin and oxytocin in the surgical management of tubal interstitial tuberosity during laparoscopic operation. Methods: Sixty-seven patients with hemodynamically stable tubal pregnancy were enrolled in this study. Laparoscopic surgery was performed in 35 cases (group A) Pituitrin 6U plus saline 10mL, 32 patients (group B) underwent lateral tubal resection and uterine horn incision embryo implantation in the vicinity of the lesion injection of oxytocin 20U plus normal saline 10mL. Results: All 67 cases underwent laparoscopic surgery. The intraoperative blood loss was 42.6 ± 7.7 mL in group A and 64.2 ± 18.0 mL in group B. The operation time was 48.0 ± 8.3 min in group A and 64.8 ± 21.6 min in group B respectively. A group of suture hemostasis in 6 cases, B group suture hemostasis in 17 cases. The blood loss in group A was significantly less than that in group B (P <0.05), and the operation time was significantly shorter than that in group B (P <0.05). Conclusion: Laparoscopic tubal interstitial pregnancy in the application of pituitrin hemostasis than oxytocin hemostasis effect is better.