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输卵管结扎术后宫外孕12例,发生时间最短为8个月,最长达12年,术后2年内发病为多。11例有停经史,腹痛为主诉入院,体征与未手术者一致。后穹窿穿刺阳性11例。手术中结扎方法均为输卵管折叠结扎切断法。术中见管腔再通6例,形成新生伞1例,在输卵管峡部着床2例、壶腹部7例、伞部1例。输卵管妊娠流产4例、破裂6例。病理诊断:输卵管妊娠者9例见到绒毛或胚胎组织。卵巢妊娠1例。 讨论 管腔再通,常常由于缝合结扎过紧而切
Ectopic pregnancy after tubal ligation in 12 cases, the shortest duration of 8 months, up to 12 years, more than 2 years after onset. 11 cases of menopause, abdominal pain was the main complaint hospitalized, signs and no surgery were consistent. Posterior fornix puncture in 11 cases. Ligation surgery are tubal fold ligation cut off method. Intraoperative lumen recanalization in 6 cases, the formation of a new umbrella in the fallopian tube implantation in 2 cases, 7 cases of ampulla and 1 umbrella. Tubal pregnancy miscarriage in 4 cases, rupture in 6 cases. Pathological diagnosis: 9 cases of tubal pregnancy to villi or embryo tissue. One case of ovarian pregnancy. Discussion Lumen recanalization, often due to suture ligation too tight and cut