腹腔镜手术治疗输卵管异位妊娠的初步经验

Initial Experience of Laparoscopic Operation in Treatment of Ectopic Pregnancy

目的分析腹腔镜手术治疗输卵管异位妊娠的疗效，探讨该手术的适应证和技术要点。方法收治输卵管异位妊娠19例，停经35～74d，平均48d。所有患者均在全身麻醉下行腹腔镜手术。结果所有手术均取得成功，术中无明显并发症，手术时间为62±17min；IE痛剂（曲马多）100±12mg；术后3～8d出院，平均4d。随访2～7个月，无并发症发生。结论腹腔镜手术治疗输卵管异位妊娠安全、有效，但它需要一定的腹腔镜外科训练。

Objective To analyse the surgical outcome and explore the indication and major techniques of iaparoscopic operation in treatment of ectopic pregnancy. Methods 19 patients who had ectopic pregnancy with the menolipsis time from 35 to 74 days were enrolled in this study. The mean time of menolipsis was 48 days. All patients were made laparoscopic operation under trachea anaesthesia. Results All the operations were successful No severe complications were met during operation. The operative time was 62 ＋ 17 min. The dosage of analgesic （Tramal） was 100＋ 12 mg and the mean hospital time was 4 days（ranged from 3 to 8 days）. No postoperative complications occurred in all cases during 2 months to 7 months follow-up. Conclusion Laparoscopic operation is safe and effective on treatment of ectopic pregnancy. However, it requires laparoscopic training.