CHEN Yan,ZHANG Hongyang,ZHAI Aiqin. Conservative treatment with suture surgery under laparoscope for the cornual or interstitial tubal pregnancy[J]. JOURNAL OF WEZHOU MEDICAL UNIVERSITY, 2014, 44(11): 832-.
Abstract：Objective: To evaluate the benefit and efficacy of conservative treatment with suture surgery under laparoscope for the cornual or interstitial tubal pregnancy. Methods: Clinical data of 19 cases with cornual or interstitial tubal pregnancy undergoing surgery by laparoscopic treatment were retrospectively analyzed. They were designed to observation group and control group. The patients in observation group received suture surgery and taking embryo by cornual or tube pregnancy incision by laparoscope combined with partly injection on methotrexate (MTX), and those in control group received one horn of uterus wedge resection or one tubal removal by Laparoscope. Results: Comparing the control group, the observation group patients had the advantages of less bleeding, shorter duration of surgery. Between the two groups, the difference was statistically significant (P<0.05). Postoperative levels of serum β-HCG of 19 cases decreased to normal level within 60 days after surgery. All patients recovered to normal menstrual 3 months after the surgery. Conclusion: The method of through suture surgery and taking embryo by cornual or tube pregnancy incision combined with partly injection on methotrexate (MTX) by laparoscopic conservative treatment with the advantages of operation simply, shorter duration of surgery, less trauma, less bleeding, utmost retaining the structure and function of uterine and fallopian tube is worth in wide clinical application.
