腹腔镜手术治疗输卵管妊娠78例临床分析

Reatment Analysis of Video Laparoscope in 78 Patients with Tubal Pregnancy

目的：探讨各种类型输卵管妊娠行腹腔镜手术的临床方法。方法：对78例输卵管妊娠患者，以腹腔镜技术行输卵管切开、开窗、伞端整形进行手术。结果：腹腔镜手术治疗各类输卵管妊娠78例，术后输卵管通畅率100％（78／78），宫内妊娠率89．74％（70／78）。无1例再发生输卵管妊娠。手术时间（20-65）min，平均38min，术中出血（2～110）m1，平均13ml。均无严重并发症。结论：腹腔镜治疗各种类型输卵管妊娠安全、有效、恢复快，即能明确诊断，又能治疗，还能术后提高输卵管通畅率和宫内妊娠率。

Objective.To observe the treatment effects of video laparoscopy operations on tubal pregnancy. Methods. The laparoscopy technology operations were performed （cutting open falloppian tube and umbrella-end plastic operation） in 78 women with tubal pregnancy. Results： Under video laparascopy technology operation, the falloppian tube was not anymore in all cases. The pregnancy in womb after operation was 89.74 %, and no pregnant got the tubal pregnancy again. The operation time valid from 20 minutes to 65 min, average time 38 min. The mean bleeding volume was 13ml（2-110）. No serious complications occurred. Conclusions： The results suggest that laparosicopic operation is safe, minimal invasion, better recovery and efficiency.