Laparoscopy rau Ectopic cev xeeb tub: nta ntawm lub lag luam, cov teebmeem ntawm

Nyob rau hauv no tsab xov xwm, peb muab rau koj mus ntsib cov laparoscopic ectopic cev xeeb tub, uas tshwm sim feem ntau heev, hais txog 5%. Tu siab, tus me nyuam cov kev cawm tsis tau zoo, cov ua ntej lawm txiav cov kev ntsuas npaum li cas los, qhov ntau yuav txuag appendages los yog txawm tus poj niam lub neej. Yog hais tias koj muaj kev tshwm sim uas cev xeeb tub, koj yuav tsum tam sim ntawd mus rau lub gynecologist. Tus hais tam sim ua ultrasound, tus ceev thiab yooj yim koj yuav tau txais tshem ntawm tsis kaj lub siab txim. Nyob rau hauv tas li ntawd, ultrasound pab txiav txim seb qhov chaw ntawm lub implantation ntawm lub ovum. Yog hais tias ib tug ultrasound qhia hais tias ectopic cev xeeb tub, nws yog tsim nyog los ua tam sim ntawd (interrupt). Nyob rau hauv dab tsi txoj kev uas nws yuav ua tau? Yuav ua li cas yog laparoscopy raj nrog ib tug ectopic cev xeeb tub? Tag nrho cov lus nug uas koj yuav nrhiav tau cov lus teb nyob rau hauv no tsab xov xwm.

ectopic cev xeeb tub

Rau ib tug pib peb saib yuav ua li cas fertilization yuav siv sij hawm qhov chaw. Qhov no fusion ntawm ob gametes (phev thiab ova) nyob rau hauv txoj hlab qe raj. Tom qab no tus txheej txheem yog twb fertilized qe tsiv mus rau hauv lub tsev me nyuam, thiab yog txuas mus rau lub phab ntsa. Qhov no yog ib qho piv txwv ntawm ib qho kev cev xeeb tub, uas tshwm sim nyob rau hauv lub cuaj caum-tsib lub sij hawm ntawm ib puas. Nyob rau hauv lwm yam mob, tus fertilized qe yog muab khaws cia tseg nyob rau hauv txoj hlab qe raj thiab fastened nyob qhov twg sab nraum lub uterine kab noj hniav. Nyob qhov twg lub embryo yuav tsau:

• hlab qe raj;
• nyob rau hauv lub plab kab noj hniav;
• nyob rau hauv lub zes qe menyuam.

Qhov no Misplacement fertilized ovum yog hu ua ib tug ectopic cev xeeb tub. Txuag tus me nyuam nyob rau hauv cov ntaub ntawv no tsis ua hauj lwm, tus kws kho mob yuav tsum tau appoint ib tug txheej txheem rau nws txiav. Laparoscopy rau Ectopic cev xeeb tub - yog lub feem ntau nrov thiab maj mam txoj kev kho mob. Yog hais tias lub sij hawm yuav txiav txim, ces tom qab phais tom qab ib tug thaum koj yuav tau pib npaj cov me nyuam yug ntawm ib tug me nyuam.

Ectopic los yog khi cev xeeb tub - yog ib tug pathology, nyob rau hauv uas lub fertilized qe yog implanted sab nraum lub tsev menyuam. Nws yog ib nqi sau cia hais tias tsis ntev los no tus xov tooj ntawm tus neeg mob yog loj hlob.

Yuav ua li cas yog qhov ua rau uas ua rau muaj mob no pathology? Cov no muaj xws li nram qab no:

• kis kab mob ntawm lub tsev menyuam;
• cov neeg mob appendages;
• mob los yog inflammatory dab tshwm sim nyob rau hauv lub urinary zis;
• congenital txawv txav qauv ntawm cov kav dej;
• lag luam, pauv mus rau txoj hlab qe menyuam;
• hormonal tsis ua hauj lwm;
• nquag abortions;
• muaj helix (txoj kev pov);
• ntev kawg ntawm kev kho mob nrog hormonal npaj;
• qhov chaw mos endometriosis;
• mob hlab qe menyuam thiab thiaj li nyob.

Laparoscopy raj nrog ib tug ectopic cev xeeb tub uas muaj nyob rau hauv txoj hlab qe menyuam, yog ib tug yuav tsum. Cov ua ntej lawm qhov mob ntawm no pathology thiab nqa tawm lub lag luam, lub ntau dua qhov yuav tshwm ntawm cov ciaj sia taus ntawm cov appendages. Nyob rau hauv tas li ntawd, koj yuav tsum nrhiav kom tau qhov ua thiab noj tshuaj kom tsis txhob tshua mob heev.

Hom ectopic cev xeeb tub

Ib tug yuav pabneeg nram qab no faib ntawm ectopic cev xeeb tub (nyob rau hauv qhov chaw ntawm kho cov ovum)

• yeeb nkab;
• ntawm zes qe menyuam;
• mob plab;
• lub tsev me nyuam.

Tus thawj hom yog lub feem ntau (98% ntawm tag nrho cov neeg mob). Thaum cov yeeb nkab fastening ectopic cev xeeb tub tshwm sim nyob rau hauv ib tug ntawm cov mucosa ntawm txoj hlab qe menyuam. Yog li ntawd nws yog ua tau rau faib tubular daim ntawv lwm ob peb subspecies (vim qhov chaw nyob rau hauv txoj hlab qe raj):

• ampullar;
• isthmic;
• interstitial;
• fimbrial.

Tus lwm yam peb hom ntawm cov no yog cov heev tsis tshua muaj. Thaum ntawm zes qe menyuam ectopic cev xeeb tub tshwm sim consolidation nyob rau hauv cov kab noj hniav ntawm tus follicle, thaum mob plab - nyob rau hauv lub plab kab noj hniav, ncauj tsev menyuam - nyob rau hauv lub ncauj tsev menyuam.

kev kho mob

Heev tseem ceeb lub sij hawm los xyuas txog cov xub ntiag ntawm ib ectopic cev xeeb tub. Qhov no yuav pab kom nws cov tsos mob. Ua ntej, ib tug poj niam tej zaum yuav xav tias mob tej, tej zaum nws yuav muab nyob rau hauv lub duav rov sauv. Yog hais tias nyob rau ntawm no theem tsis pom ib tug kws kho mob, tus mob yuav sai sai no yuav mob. Nws tsis yog tsim nyog los noj mob tshuaj, raws li qhov no yuav cuam tshuam nrog rau cov mob ntawm ectopic cev xeeb tub. Ib yam li ib tug poj niam muaj peev xwm xav tias ib tug muaj zog tsis muaj zog, kiv taub hau thiab xeev siab.

Them mloog mus rau cov nyiaj, tej zaum lawv yuav muaj ib cov ntshav xim, qhov no qhia nrog los ntshav vim kev puas tsuaj rau lub appendages. Yog hais tias lub cev xeeb tub xeem yog zoo thiab koj pom cov tsos mob no, nco ntsoov mus rau lub gynecologist. Thov nco ntsoov tias cov tsis nco qab - nws kuj yog ib tug cov tsos mob ntawm tus kab mob no.

Tus kws kho mob yuav tsum xa koj rau ib qho ultrasound ntsuam xyuas, qhov tshwm sim ntawm uas yuav tsum tau muaj nyob rau lub site ntawm implantation ntawm lub ovum. Tom qab tau txais cov kev tshwm sim ntawm ib tug gynecologist prescribes kev kho mob. Txoj kev uas yuav tau tshem ntawm ectopic cev xeeb tub:

• laparotomy (hauj lwm kev pab, uas yuav qhib lub plab phab ntsa, qhov kev tshem tawm ntawm lub embryo nrog cov yeeb nkab los yog zes qe menyuam);
• laparoscopy (ib tug ectopic cev xeeb tub yog qhov zoo tshaj plaws thiab tsawg txaus ntshai txoj kev, thaum lub sij hawm lub lag luam ua xwb ib tug me me tej);
• tshuaj.

Tam sim no wb tham ntau me ntsis txog txhua txoj kev.

Laparotomy - qhov kev tshem tawm ntawm lub ovum, uas tej zaum yuav ua qhov kev tshem tawm raj los yog zes qe menyuam. Qhov no txoj kev siv ua ntej lawm, ua ntej lub advent ntawm laparoscopy. Txawm li cas los, nyob rau hauv ib co tsev kho mob nws yog xyaum rau hnub no. Qhov no tej zaum yuav raws li nram no mob:

• Tsis muaj cov kev tsim nyog niaj hnub khoom;
• tsis muaj tus kws uas yuav ua tau qhov phais laparoscopy;
• lub qho tseem ceeb mob ntawm tus poj niam, taus nws lub neej.

Laparotomy yog ua nyob rau hauv ob peb txoj kev:

• milking;
• tubotomiya;
• tubektomiya.

Tus thawj txoj kev tso cai rau kom khaws cia thiab tiv thaiv cov kev txiav hlab qe raj. Ovum yog extruded, nws yog ua tau, yog hais tias nws yog nyob ze ntawm lub rooj tawm ntawm lub raj. Tom qab lub lag luam tus poj niam yuav tau cev xeeb tub.

Tubotomiya yuav incision los yog tshem tawm ntawm lub raj ua ke nrog cov me nyuam hauv plab qe. By resorting rau cov qauv no, Yog hais tias koj tshem tawm cov fertilized qe tsis tau los ntawm extrusion. Muaj tseeb rov cev xeeb tub rau cov poj niam tom qab phais tseem, tab sis ho txo.

Tubektomiya - qhov kev tshem tawm ntawm txoj hlab qe raj, thiab zes qe menyuam yog tias tsim nyog. Ntawm cov hoob kawm, cev xeeb tub cov poj niam yuav tsis muaj kev xaiv tiam sis kom txuag nws lub neej nws tau. Raws li txoj cai, qhov no txoj kev yog resorted tsuas yog nyob rau hauv huab lub sijhawm thaum vib nas this suav.

Peb tam sim no tig mus rau qhov ntau tam sim no nrov txoj kev, qhov no phais - laparoscopy nrog ib tug ectopic cev xeeb tub. Nws yog suav tias yog tsawg txaus ntshai thiab maj. Qhov no txoj kev hauv qab no peb yuav tau them ib tug ntau ntau lub sij hawm.

Qhov kawg txoj kev - qhov no tshuaj. Nws yog ib nqi sau cia hais tias cov kws kho mob tsis cia siab rau nws, preferring mus hlais. Qhov no txoj kev yog siv heev tsis tshua muaj thiab nyob rau hauv heev me ntsis lub sij hawm. Nws essence lies nyob rau hauv cov kev taw qhia ntawm "Methotrexate" ib tug yeeb tshuaj uas tua tus embryo tawg. Yuav ua cev xeeb tub tom qab kev vam meej tshuaj kho mob yog xyaum tsis txo piv rau dab tsi nws yog ua ntej.

laparoscopy

Raws li hais ua ntej lawm, laparoscopy nrog ib tug ectopic cev xeeb tub - nws yog qhov zoo tshaj plaws txoj kev kho mob. Tam sim ntawd nws yuav tsum tau muab sau tseg tias nws yog tsawg puas. Laparoscopy pab heev painlessly tau tshem ntawm ectopic cev xeeb tub, uas yog ib tug uas muaj nyob sab nraum lub tsev menyuam. Poj niam thaum lub sij hawm kev phais yuav tsis hnov tej kev mob los yog tsis xis nyob, raws li nws yog ua li cas nyob rau hauv kev tshuaj loog.

Tus kws phais tau ua ib tug me me incision nyob rau hauv lub plab kab noj hniav thiab yuav ua kom paub ib tug tshwj xeeb cov cuab tam uas koj yuav tshem tawm cov embryo los ntawm cov hlab qe raj. Lub lag luam uas tseem yog tswj los ntawm ultrasound machine.

Raws li tau muaj tseeb, tus me nyuam laparoscopy ectopic cev xeeb tub yuav tsis ciaj sia. Tab sis nyob rau hauv lub sij hawm ua qhov phais yuav pab tau txuag lub neej thiab noj qab haus huv ntawm tus poj niam. Thaum tus thawj lub sijhawm twg los ntawm ib tug ectopic cev xeeb tub mus rau tus kws kho mob. Ceev yuav tsum tau noj kev kho mob ntawm ectopic cev xeeb tub, qhov ntau dua ib tug poj niam nyob rau hauv lub neej yav tom ntej kom muaj me nyuam.

Twb thaum lub sij hawm lub lag luam, tus kws kho mob txiav txim siab mus khaws lub raj los yog tsis. Tag nrho cov no yog nyob ntawm ntau yam. Hlab qe raj yog muab khaws cia tseg yog hais tias:

• sij hawm luv luv uas cev xeeb tub;
• salpinx tsis ntau cuam tshuam.

Yog hais tias cov ob qho tseem ceeb rau cov neeg mob uas tau ntsib, tus kws kho mob ua ib tug me me incision kom tshem tawm cov gestational sac. Tom qab lub lag luam ntawm xws li ib tug poj niam yog tau zoo thiab ua rau koj ua me nyuam noj qab haus huv. Txwv tsis pub (yog hais tias tus ovum haum loj thiab ntseeg tau poob plig hlab qe raj) tus kws kho mob txiav txim siab tshem tawm ib feem los yog tag nrho ntawm cov yeeb nkab.

Ib zaug dua kuv kos koj cov xim rau lub fact tias cov ua ntej lawm koj nrhiav kev pab los ntawm ib tug gynecologist, qhov ntau yuav khaws cia lawv cov me nyuam noj qab haus huv. Nco ntsoov thiab mloog mus rau lub teeb koj lub cev. Yuav kom qhia txog qhov no seem, kuv xav mus rau ntsiab qhov zoo ntawm cov niaj hnub phais hu ua laparoscopy:

• Me hemorrhage;
• sai tom qab lub lag luam;
• tsawg postoperative teeb meem;
• tsis muaj nti.

Nyob rau hauv no ua lag luam, muaj cov tseem ib co zoo:

• Nws tshwm sim thaum lub sij hawm ntxhua laparoscopy lub plab kab noj hniav los ntawm cov ntshav (ntshav yog qhov ua rau ntawm lub tsim ntawm adhesions, lub yav tas, nyob rau hauv lem, yuav ua tau kom repetition ntawm ectopic cev xeeb tub);
• Tom qab muab hlais tawm lawm, tus kws phais yuav ntsuam xyuas hauv lub xeev ntawm lub thib ob yeeb nkab thiab appendages;
• tau reconstructive pab (colliotomy, es ua patency kav).

Tus hais tam sim koj yuav tau muab ib tug laparoscopy, qhov ntau lub caij nyoog ntawm conceiving ib tug noj qab nyob zoo tus me nyuam nyob rau hauv lub neej yav tom ntej.

txuag yeeb nkab

Laparoscopy rau ectopic cev xeeb tub nrog preservation ntawm cov yeeb nkab yog nqa tawm nyob rau hauv tej yam cov kev cai: gestational me me raj yog tsis puas. Nyob rau hauv lwm yam mob, tus kws kho mob yuav tsis tau tawm cov yeeb nkab, vim hais tias nws yuav ua rau ib tug tsis tshua mob heev ntawm tus kab mob, raws li yuav tsis nqa tawm nws ncaj lub hom phiaj.

Laparoscopy nrog ectopic cev xeeb tub nrog preservation ntawm cov yeeb nkab yog tau tsuas yog nrog raws sij hawm kev kho mob rau lub tsev kho mob. Mloog koj lub cev Pib ntsais koj teeb. Kev loj hlob ntawm ectopic cev xeeb tub yog txaus ntshai rau qhov hais tias lub phab ntsa ntawm lub hlab qe raj stretch nrog ua ovum. Raws li ib tug tshwm sim, lawv tsis txhob sawv ntsug thiab tawg. Rau ntawm no theem nws yog ib qho tseem ceeb kom tau conserved cov yeeb nkab, thiab ib tug poj niam lub neej.

Yog hais tias koj xav tias cov thawj tsos mob ntawm ib qho kev ectopic cev xeeb tub, hu rau ib tug gynecologist. Diagnosing nws yog txo mus rau ob peb cov ntsiab lus:

• sau cov ntshav tshuaj ntsuam hCG;
• ultrasound.

Yog hais tias ib tug ectopic cev xeeb tub xeem, txawm nyob rau lawv lub tsev, yuav qhia ib tug zoo tshwm sim. Txawm li cas los, cov ultrasound yog kuaj cov ovum nyob rau hauv lub uterine kab noj hniav. Nyob rau hauv cov ntaub ntawv no, ib qho mob ceev yuav tsum tau mus rau lub laparoscopic mob. Yog hais tias koj tsis nco qab mus ua li no, txoj kev ciaj sia taus ntawm cov yeeb nkab thiab cov preservation ntawm lub tsev me nyuam noj qab haus huv yog heev loj.

tshem tawm ntawm lub raj

Lag luam laparoscopic ectopic cev xeeb tub nrog rau cov kev tshem tawm ntawm lub raj yog tsim nyog kiag li nyob rau hauv tej rooj plaub. Nyob rau lawv koj yuav kawm nyob rau hauv qhov seem ntawm qhov tsab xov xwm.

Lub lag luam nws tus kheej yog kev ruaj ntseg kiag thiab ceev ceev rov qab lub sij hawm txawv cov poj niam tom qab nws. Nws yog nyob rau hauv kev tshuaj loog. Rau nws cov kev siv yuav tsum tau ua peb tej (inch tsis ntau tshaj ib centimeter) rau lub laparoscope thiab laparoscopic hlab. Qhov thib ob uas yuav tsum tau nyob rau hauv thiaj li yuav pom daim duab, uas yog tsim nyog rau kev ntsuam xyuas hauv lub xeev cov tub ceev xwm.

Laparoscopy muaj ob hom:

• tubotomiya (uas peb tau hais saum toj no, tus kws phais txiav txoj hlab qe raj thiab tshem tawm cov fertilized qe, kom cov yeeb nkab muaj nuj nqi);
• tubektomiya (tshem tawm ntawm txoj hlab qe raj).

Laparoscopy hlab qe menyuam thaum lub sij hawm ib tug ectopic cev xeeb tub nrog rau cov kev tshem tawm ntawm lub raj yuav tsum tau nyob rau hauv muaj xwm ceev, thiab hnyav heev (yog khaws cia txoj hlab qe raj yog ntau dua uas yuav tshaj nws cov kev tshem tawm). Txuag nws yog tau nyob rau hauv cov kev tshwm sim hais tias tsis muaj cov yam ntxwv hloov, txwv tsis pub nws yog pointless thiab txaus ntshai.

Yog li ntawd tubektomiya ua li cas yog:

• muaj irreversible hloov nyob rau hauv hlab qe raj;
• ectopic cev xeeb tub nrog rov implantation nyob rau hauv tib yeeb nkab raws li yav tas los tom qab tubotomii;
• adhesions nyob rau hauv lub plab mog.

Nyob rau hauv kauj ruam mezosalpinks excised thiab isthmic sib cais. Salpinx muab tshem tawm ua ke nrog cov me nyuam hauv plab qe. Soj ntsuam seb ua hauv lub xeev ntawm "cev xeeb tub" yeeb nkab soj ntsuam yuav pab rau lwm yam. Tom qab researching tus kws phais ua ib tug txiav txim: koj ua tau tawm tus neeg mob raj los yog nws yog ib qho zoo kom tshem tawm.

Khaws cia rau lub tsev me nyuam noj qab haus huv thiab tau txais kev cev xeeb tub thiab muaj ib tug noj qab nyob zoo tus me nyuam yuav tsum tsis txhob ncua lub mus ntsib mus rau lub gynecologist. Raws sij hawm kev kho mob thiab kev kho mob - yog tus yuam sij rau koj zoo siab rau yav tom ntej.

rov qab

Yog li ntawd laparoscopy - yog qhov kev tshem tawm ntawm ib tug ectopic cev xeeb tub, uas, yog tias raws sij hawm kev kho mob yog ntau maj mam. Peb twb tseem ceeb qhov zoo ntawm lub lag luam no. Ib tug ntawm lawv - ib tug ceev rov qab los ntawm cov poj niam tom qab laparoscopy. Kev tshem tawm ntawm ectopic cev xeeb tub nrog rau cov kev pab los ntawm no txoj kev dag nyob rau hauv lub tho qhov me me rau cov kev taw qhia tshwj xeeb pab kiag li lawm. Nyob rau hauv no hais txog, cov sutures raug muab tshem tawm nyob rau hauv lub thib tsib los yog xya hnub tom qab phais nyob rau hauv lub qhaj ntawv ntawm o.

Pom zoo ntawm cov kws kho mob nyob rau hauv lub postoperative lub sij hawm:

• kev kho mob ntawm cov qhov txhab uas iodine ob lub lis piam;
• tsuas yog ob tug lub lis piam mus coj ib tug da dej;
• tsis noj oily thiab ntsim;
• pw ua ke yog tau tsuas yog tom qab lub restoration ntawm lub cev ntas;
• Npaj cev xeeb tub yog los sib tham nrog ib tug kws kho mob (tus tos 1 hlis mus rau 4).

los ntshav

Nyob rau hauv seem no, peb sib tham txog tej ntshav tom qab laparoscopic ectopic cev xeeb tub. Muaj ntau cov poj niam uas tau muaj lub lag luam no, pom tias tom qab 20-30 hnub ntawm qhib los ntshav. Lawv liam tias yog tim nws rau ib sab nyhuv ntawm cov kws kho mob. Hauv qab no yog ib cov qauv daim ntawv teev cov tshuaj rau kev ncaj ncees:

• calcium chloride;
• "Metrogil";
• "Aktovegin";
• "TSikloferon";
• "AGT";
• "Diclofenac";
• "Gluconate CA";
• "Voebenzim";
• "Rotramitsin";
• "Viferon".

Hoob no ntawm kev kho mob yuav tsum tau pib tam sim ntawd tom qab lub lag luam, siv cov yeeb tshuaj, uas appoints lub mus kawm tus kws kho mob. Ua ntej qhib lub los ntshav yuav tawm cov ntshav txhaws, qhov no yog heev qub tom qab laparoscopy. Qhib lub los ntshav - nws yog tsis muaj dab tsi zoo li txhua lub hlis.

xaiv

Spotting tom qab laparoscopic ectopic cev xeeb tub tham txog tus tuaj lub hlis. Tam sim ntawd tom qab kev phais, tsis txhob yuav raug yog hais tias tus xaiv yuav tsum tau "pleev" cim. Yog hais tias spotting nyob ntxov tshaj 25-30 hnub tom qab lub lag luam, nws qhia tias uterine los ntshav. Nco ntsoov sab laj ib tug kws kho mob.

Tsis tas li ntawd, tsis txhob muab tso tawm mus ntsib tus kws tshuaj kuaj pojniam yog hais tias muaj yog tsis muaj paug ntau tshaj ib lub hlis tom qab qhov phais. Qhov no tej zaum yuav qhia tau tias impaired hormonal tshuav nyiaj li cas thiab yuav tsum kis tau ib tug tshwj xeeb cov hoob kawm ntawm kev kho mob.

Yog hais tias muaj yog ib tug kab mob nyob rau hauv lub cev, qhov uas qhia tawm yuav muaj ib tug unpleasant tsw. Lawv zoo li lub taub hau ntawm porridge. Nco ntsoov mus los ntawm qhov kev soj ntsuam thiab kev kho mob.

Lub hli tom qab phais

Lub hli tom qab laparoscopic ectopic cev xeeb tub tuaj txog tsis pub lig tshaj peb caug hnub tom qab lub lag luam. Tsis txhob txhawj yog tias koj pom ntshav txhaws.

Amenorrhea qhia hormonal tsis ua hauj lwm tom qab phais. Tham nrog koj tus kws kho mob. Nws yog yuam ua hauj lwm kom xa koj rau kev ntsuam xyuas kom paub meej tias los yog tsis pom zoo no ziag no. Yog hais tias tej deviations los ntawm cov cai muaj tam sim ntawd xa rau kev sib tham mus rau lub gynecologist.

Cev xeeb tub tom qab laparoscopy

Cev xeeb tub tom qab laparoscopic ectopic cev xeeb tub yog tau. Thov nco ntsoov tias nws yog tsim nyog los tham rau cov teeb meem no nrog cov gynecologist. Yog hais tias muaj yog tsis muaj contraindications, koj muaj peev xwm pib npaj los ua cev xeeb tub nyob rau hauv lub tom ntej no lub hli.

Nws yog ib nqi xav tias yuav lub fact tias nyob rau hauv thiaj li yuav tiv thaiv tau cov tsis tshua mob heev ntawm ectopic cev xeeb tub yuav tsum yauv mus ua ib tug tag nrho cov kev soj ntsuam thiab txiav txim qhov ua rau ntawm nws tshwm sim. Tom qab paub thiab kho tej yam teeb meem, koj yuav tau xyuam xim ua ib tug ntxiv zaug tus me nyuam conception.

Qhov ntev-awaited cev xeeb tub tom qab laparoscopy, ectopic cev xeeb tub yuav tsis taug kev rau ib tug ntev lub sij hawm. Nyob rau hauv cov ntaub ntawv no, cov poj niam muaj kev pab los ntawm lub IVF txoj kev. Nws yog ib qho tseem ceeb hais tias qhov no txoj kev muaj peev xwm tau txais cev xeeb tub, txawm tias cov ntxhais thiab cov poj niam uas muaj ib tug uterine raj raug tshem tawm thaum lub sij hawm lub lag luam.

Xyuas

Laparoscopy ectopic cev xeeb tub yog cov tsis tshua muaj zoo xyuas. Tom qab tag nrho, qhov no txoj kev yog yus muaj los ntawm ceev ceev kev ncaj ncees thiab muaj peev xwm kom muaj me nyuam noj qab haus huv. Nyob rau hauv tas li ntawd, tus kws kho mob thaum lub sij hawm kev phais yuav tshem tawm yog tseem ib co teeb meem uas tiv thaiv cev xeeb tub poj niam. Cov muaj xws li cov phais ntawm adhesions los yog khi patency restoration.