腹腔镜下输卵管妊娠手术63例体会

To Understand Tubal Pregnancy Operaition with Laparoscopy in 63 Cases.

目的探讨腹腔镜下输卵管妊娠手术的临床效果。方法采用美国生产的Stryker腹腔镜系统，行下腹部三点穿刺造气腹，单人操作。根据不同情况行输卵管切除术或输卵管开窗取胚术，辅以术后米非司酮＋MTX治疗。结果切除患侧输卵管52例，保留输卵管11例。腹腔镜手术均获成功，无一例中转开腹，无一例持续性宫外孕。少数病例术后2d内述上腹部不适及肩胛部疼痛，经对症处理均痊愈。结论腹腔镜下输卵管妊娠手术效果好，出血少、时间短、创伤小、恢复快。

Objective This study was undertaken to investigate the effectiveness of laparoscopes on the therapy of tubal pregnancy. Metbotis Three - core - paracentesis were conducted on the hypogastrium to shape the pneumoperitoneum. This procedure was conducted by one person using the Stryker laparescopes system which is made in the USA. Salpingectomy or Salpingostomy was applied according to the individual condition and all patients were treated with mifepristone and MTX after the operation. Results Oviductus of 52 patients were excised and that of the rest 11 patients were reserved. All the operations were performed successfully without any open abdominal operation or durative ectopic pregnancy. Epigastric discomfort and scapular ache that happened in few patients in 2 days after the operation were disappeared after expectant treatment. Conclusion Laparoscopy displays several excellences in the treatment of tubal pregnancy, such as good prognosis,less bleeding, short operation time and quick recovery.