腹腔镜手术治疗87例异位妊娠的临床分析

Clinic analysis of 87 cases of ectopic pregnancy by laparoscopy

目的探讨腹腔镜手术治疗异位妊娠的术式及价值。方法回顾性分析2004年6月～2005年1月腹腔镜手术治疗的异位妊娠患者87例。结果87例异位妊娠患者均成功行腹腔镜手术,有生育要求的患者均保留了输卵管。结论腹腔镜手术治疗异位妊娠能减少患者的痛苦,缩短住院时间,用氨甲喋呤(MTX)能起到预防持续性异位妊娠的效果。急诊腹腔镜手术治疗休克型及少见异位妊娠也是安全可行的。

[Objective] To study the operation methods and the value of ectopic pregnancy operation treat with laparoscopy. [Methods] Retrospective analysis of 87 cases of ectopic pregnancy by laparoscopic operation. [Resuits] The operation was performed on 87 cases by laparoscopy without complications. Ectopic pregnancy patients who wanted to fertilize exert conservative operation. [Conclusions] Laparoscopy can lessen patients, suffering, decrease the hospital days, use MTX to prevent duratively ectopic pregnancy, the effect is reliable, the emergency laparoscopic operation is safe and feasible for ectopic pregnancy with hypovolemic shock or rare ectopic pregnancy.