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| A study of vasopressin combined with cerclage used before unruptured tubal interstitial pregnancy removal by laparoscopic |
| Zhuhai Maternal and Child Health Care Hospital, Guangdong Province, 519000 |
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Abstract Objective: To investigate the effect and clinical value of vasopressin combined with cerclage used before unruptured tubal interstitial pregnancy removal by laparoscopic. Methods: 67 women diagnosed with tubal interstitial pregnancy were selected as the research objects from January 2015 to June 2017. Based on the fertility requirements of women, 35 women in the study group had received laparoscopic tubal interstitial pregnancy removal after the pretreatment by vasopressin combined with cerclage, and 32 women in the control group had underwent laparoscopic wedge resection of ectopic pregnancy. The intraoperative and postoperative situations of women were compared between the two groups. Results: The volume of blood loss of women in the study group was 69.8±16.2ml, which was significant lower than that (80.2±19.1ml) of women in the control group (P<0.05). In the study group, the rate of unobstructed or partially unobstructed of fallopian tubes found by salpingography inspection half year after operation was 37.1%, and the rate of nature pregnancy in 2 years after operation was 65.7%. Conclusion: The pretreatment by vasopressin combined with cerclage before laparoscopic tubal interstitial pregnancy removal can effectively decrease the intraoperative blood loss, can effectively treat interstitial tubal pregnancy and retain the completeness of uterus and fallopian tube, which is benefit for treating those women who have fertility requirements.
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