腹腔镜手术在异位妊娠中的应用

Application of laparoscopyic surgery in ectopic pregnancy

目的探讨腹腔镜下异位妊娠手术的疗效及应用前景。方法对145例开腹行异位妊娠(输卵管妊娠142例,卵巢妊娠2例,残角子宫妊娠1例)手术的患者及168例腹腔镜手术的异位妊娠患者(均为输卵管妊娠)资料进行回顾性分析。结果两组患者在异位妊娠类型的构成比、年龄、体重、孕产次等方面差异无显著性;在术中失血量、术后恢复、术后止痛药应用、住院时间及术后输卵管复通等方面差异有显著性。结论腹腔镜下异位妊娠手术完全可安全有效地用于临床,且具有创伤小、恢复快的特点。

[Objective] To explore the effects and application prospect of the laparoscopic surgery in ectopic pregnancy. [Methods] The data of 145 patients （142 cases pregnancy in Fallopian tube, 2 cases in ovarian and 1 case in rudimentary hom） undergoing salpingectomy or salpingotomy with laparotomy and another 168 cases pregnancy in Fallopian tube having same surgeries laparoscopically were analyzed retrospectively. [Result] Ectopic pregnancy types, patients ages, avoirdupois, pregnancy or labor times, et al between the two groups were not significandy different; Blood lost, analgesic drugs use, recovery after surgery were significant different. The laparoscopy group was better than the laparotomy group. [Conclusion] The laparoscopic surgery is a kind of more efficient, securer and less injurious way to the ectopic pregnancy patients.