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目的:探讨因输卵管积液等行腹腔镜下绝育术后助孕、宫内成功妊娠而并发输卵管残端出血的病因及预治。方法:回顾性分析2例宫内妊娠并发输卵管残端出血患者的临床资料。结果:2例患者经腹腔镜手术止血成功,并保住了宫内胎儿,获得满意的治疗效果。结论:宫内妊娠并发输卵管残端出血原因可能与前次腹腔镜绝育术中不恰当的电凝导致残端组织愈合不良、宫角受损未予成形缝合以及手术器械使用不当等有关,应采用恰当的手术方式加以防范。
Objective: To investigate the causes and prognosis of tubal stump hemorrhage due to pregnancy-assisted and intrauterine successful pregnancy after tubal effusion due to tubal effusion. Methods: The clinical data of 2 patients with intrauterine pregnancy complicated by tubal stump hemorrhage were retrospectively analyzed. Results: Two cases of laparoscopic surgery to stop bleeding, and retained intrauterine fetal, access to satisfactory treatment. Conclusion: Intrauterine pregnancy with tubal stump bleeding may be related to the previous laparoscopic sterilization of improper electrosurgical lead to poor stump tissue healing, uterine horn damage is not shaped suture and improper use of surgical instruments and so on, should be used Appropriate surgical methods to be protected.