腹腔镜诊治卵巢妊娠26例疗效分析

Analysis of Laparoscopic diagnosis and treatment for 26 cases with ovarian pregnancy

目的探讨腹腔镜手术治疗卵巢妊娠的临床价值。方法将腹腔镜手术治疗卵巢妊娠的26例与同期开腹手术的30例进行比较。结果56例卵巢妊娠全部行急诊手术治疗,术中所见全部发生破裂,临床特征为腹痛明显,无明显停经史,腹腔镜组手术时间及术中出血量明显少于开腹组(p<0.01),静脉用抗生素时间、肛门排气时间及住院时间明显短于剖腹手术组(p<0.01)。结论卵巢妊娠的发生可能与盆腔炎症,IUD有关,腹腔镜治疗卵巢妊娠安全可行,术后恢复快,是治疗卵巢妊娠的一种有效方法。

Objective To investigate the clinical value of laparosopic treatment of ovarian pregnancy.Methods A retrospective comparison was made on clinical data ketween 26 patients who had receivecl laparoscopic trentment of ovearia pregnancy and 30 patients who had received traditional open resection in the same period.Resules All the 56cases were treated by emergency operation in which ovarian rupturn found.The clinical manifestation of 56 cases showed severe abdom inalpain and menopause.Operation time and blood loss were less in the laparoscopy group than those contrast（p〈0.01）lntravenous antibiotics days and in hospital time were study group than those in contrast（p〈0.01）Conclusion Ovarian pregnancy occurence are related to pelvic inflammation and IUD.lapatherapy of ovarian pregnancy is safe and effective and offers a rapid postoperative recovery.We consider it an effective method to treat ovarian pregnancy.