腹腔镜治疗异位妊娠96例临床分析

Clinical Analysis of Laparoscopy for Ectopic Pregnancy(Report of 96 Cases)

目的:分析腹腔镜治疗异位妊娠的临床价值。方法:回顾分析异位妊娠腹腔镜手术治疗96例和同期开腹手术38例的临床资料。结果:96例腹腔镜均成功,无1例中转开腹。比较两组年龄、腹部手术史、既往有盆腔炎病史和腹腔内出血量,经统计学检验,两组术前情况差异无显著性(P>0.05)。比较两组手术时间、术中出血量、术后肠蠕动恢复时间、术后镇痛及住院时间,两者差异有显著性或非常显著性(P<0.05,P<0.01)。结论:腹腔镜手术具有创伤小、术中出血少、术后恢复快、疼痛轻、肠蠕动恢复快、切口美观、住院时间短等优点。腹腔镜手术是治疗异位妊娠的首选手术方式。

Objective：To evaluate the clinical value of laparoscopy in treatment of ectopic pregnancy. Methods：The clinical data of 96 cases of ectopic pregnancy undergoing laparoscopy and 38 cases of ectopic pregnancy undergoing abdominal incision were retrospectively analyzed. Results： The laparoscopy wass uccessful in all 96 cases of ectopic pregnancy, The age, previous case history including abdominal surgery and pelvic inflammatory disease and the volume of bleeding in abdominal cavity in both groups showed no differences（P 〉 0.05）. The duration of surgery, the volume of bleeding during surgery, the recovery time of enterocinesia after surgery and the duration of postoperative analgesia and hospital stay were statistically different（P 〈 0. 05, P 〈 0.01）. Conclusion： Laparoscopy is minitraumatic, with less bleeding during surgery, rapid recovery, light pain, repidlly recovery enterocinesia, fine incision and short length of stay, The technique is the first choice for ectopic pregnancy.