腹腔镜微创手术早期诊治宫外孕临床分析

Analysis on Early Diagnosis and Treatment of Extrauterine Pregnancy with Minimally Invasive Surgery of Abdominoscope

为探讨腹腔镜微创手术早期诊治宫外孕的临床意义 ,比较我院近 2a来施行的初诊疑为“宫外孕”而行腹腔镜探查术和剖腹探查术各 1 5例 ,结果显示腹腔镜组比开腹组在住院天数、腹腔内出血量、抗生素使用天数、术后排气时间上均显著减少 ,说明腹腔镜手术具有疼痛轻、术后并发症少、减少抗生素用量的优点 ,尤其适用于早期诊治包块型宫外孕。

In order to research the clinical significance of early diagnosis and treatment of extrauterine pregnancy with with minimally invasive surgery of abdominoscope, in recent 2 years in our hospital, 30cases of patient with extrauterine pregnancy were compared,15 cases by exploratory laparotomy, and 15 cases by abdominoscope. Result:the group with abdominoscope superior to group with laparotomy no matter in hospitaized days, intraperitonal hemorrhage, days of using antibiotic, or time of postoperative exsufflator. Minimally invasive surgery with abdominoscope has advantage in less pain,less posoperative complication,and reducing dosage of antibiotic, and is especially good in early stage of lump extrauterine pregnancy.