腹腔镜手术治疗异位妊娠65例临床分析

Clinical analysis of laparoscopical surgery in 65 cases with heterotopic pregnancy

目的探讨电视腹腔镜手术治疗异位妊娠的临床价值。方法对2001年5月～2003年10月腹腔镜手术治疗的65例异位妊娠的临床资料进行分析。结果65例患者手术全部在腹腔镜下进行,无中转开腹,根据腹腔内出血量分两组:组<500ml,组>500ml,经比较两组患者手术时间、住院时间,差异无显著性(P>0.05)。结论腹腔镜手术是治疗异位妊娠的一种理想的手术方式,异位妊娠失血性休克不是腹腔镜手术的绝对禁忌证。

Objective To analyse the value of laparoscopical surgery for the treatment of heterotopic pregnancy. Methods Data from 65 cases with heterotopic pregnancy undergoing laparoscopical surgery from May 2001 to October 2003 was analysed retrospectively. Results All the surgeries were operated under laparoscope and with no exception of ventrotomy. According to the volume of celiac hemorrhage,they were divided into 2 groups：group Ⅰ,less than 500 ml and group Ⅱ ,over 500 ml,In comparison of their operation time and hospitalized time respectively,there were no remarkable differences between them（P〉0. 05）, Conclusion Laparoscopical surgery is optimal method for the treatment of heterotopic pregnancy and associated hemorrhagic shock isn＇t the absolute contraindication for its application.