腹腔镜手术治疗异位妊娠85例分析

Efficacy of laparoscopic surgery in the treatment of ectopic pregnancy in 85 women

目的:探讨腹腔镜手术在异位妊娠治疗中的应用。方法:85例异位妊娠不同阶段分别采用输卵管线形切开、患侧输卵管切除、卵巢部分切除等手术方法治疗。结果:本组85例中83例输卵管妊娠,占97．6％,其中流产型65例(78．3％),破裂型18例(21．7％)。除5例未发生破裂或极早期患者腹腔内无积血,其余分别有50～800 ml。手术时间平均56 min(38～90 min)。结论:腹腔镜手术治疗异位妊娠可作为异位妊娠手术方式的首选,并具有微创、术后恢复快的优点。

Objective:To study the application of laparoscopic surgery in the treatment of ectopic pregnancy. Methods:Eighty-five operations including linear salpingostomy,salpingectomy and partial oophorectomy were per- formed with laparoscopy.Results:Among 85 cases of ectopic pregnancy,83 cases (97.6%) were confirmed to be tubal pregnancy,among them 65 were tubal abortion (78.3%) and 18 (21.7%) with rupture.No blood was found in the abdominal cavity in 5 cases.The amount of blood in the peritoneal cavity ranged from 50 ml to 800 ml in most patients,except in those without tubal abortion or rupture.Mean operation time was 56 min (384 min to 90 min).Conclusion:The laparoscopic surgery can be chosen as the first option in the treatment of ectopic pregnancy,with minimal insult and rapid postoperative recovery.