지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 512 - 518 (7page)
이용수
초록· 키워드
오류제보하기
ObjectiveTo present our experience with laparoscopic tube-preserving surgery for ectopic tubal pregnancy and evaluate its feasibility and efficacy.
MethodsThis was a prospective study of 57 consecutive patients with ectopic tubal pregnancies undergoing laparoscopic tube-preserving procedures including salpingotomy, salpingostomy, segmental resection and reanastomosis, and fimbrial milking. The outcome measures were treatment success rates and homolateral patency rates.
ResultsOf the 57 surgical procedures, 55 (96.4%) were performed successfully without any additional intervention. The number of patients receiving salpingotomy, salpingostomy, segmental resection and reanastomosis, and fimbrial milking were 24 (42.1%), 25 (43.9%), 4 (7.0%), and 2 (3.5%), respectively. Two case was switched to salpingectomy because excessive bipolar coagulation was required to obtain hemostasis at the tubal bleeding bed. Over a mean β-human chorionic gonadotropin resolution time of 18.3±5.9 days, no persistent trophoblast or postoperative complications occurred. A tubal patency test using hysterosalpingography was performed in 15 cases at 3 months postoperatively. Among these, the homolateral tubal patency rate was 75% (11 of 15) and the contralateral patency rate was 80% (12 of 15).
ConclusionTube-preserving surgery is a feasible and safe treatment option for ectopic tubal pregnancy. However, considering that the optimal goal of tube-preserving surgical procedures is not the treatment success, some caution is warranted in interpreting results of this study.
목차
등록된 정보가 없습니다.
참고문헌 (18)
참고문헌 신청
Walker JJ / 2007 / Ectopic pregnancy / Clin Obstet Gynecol 50:89~99
Al-Sunaidi M / 2007 / Surgical treatment of ectopic pregnancy / Semin Reprod Med 25:117~122
Farquhar CM / 2005 / Ectopic pregnancy / Lancet 366:583~591
Fylstra DL / 2002 / Operative obstetrics / McGraw-Hill :355~378
Hajenius PJ / 2007 / Interventions for tubal ectopic pregnancy / Cochrane Database Syst Rev (1)
Al-Sunaidi M / 2007 / Surgical treatment of ectopic pregnancy / Semin Reprod Med 25:117~122
Farquhar CM / 2005 / Ectopic pregnancy / Lancet 366:583~591
Fylstra DL / 2002 / Operative obstetrics / McGraw-Hill :355~378
Hajenius PJ / 2007 / Interventions for tubal ectopic pregnancy / Cochrane Database Syst Rev (1)
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