腹腔镜下不同术式治疗异位妊娠220例临床分析

The research on the different modus operandi applied with the laparoscope on 220 patients of ectopic pregnancy

目的探讨腹腔镜手术对异位妊娠诊治的临床意义，不同手术方式应用于临床的优缺点，为选择手术方式提供参考。方法对我院2006年10月至2007年10月收治的220例异位妊娠患者进行腹腔镜手术治疗的临床资料进行回顾性分析，并比较不同术式对输卵管复通率影响的差异。结果本组220例异位妊娠患者行腹腔镜手术均成功，无中转开腹，无术时及术后并发症发生，施行保守性手术患者的术后输卵管通畅率明显高于非保守性手术患者，比较有显著性差异（P〈0．05）。结论腹腔镜手术具有微创、及时、准确、安全、易行的优点，且对患者损伤小，术后恢复快，成为临床诊治异位妊娠的主流，对于有生育要求的患者来说，腹腔镜保守性手术是首选术式。

Objective To explore the value of different laparoscopic procedures in the management of ectopie pregnancy. Methods The clinical data resulting from 220 patients with ectopic pregnancy who diagnosed and treated by laparoscopy was analyzed retrospectively and the rate of the fallopian recanalization was compared with two groups patients by different modus operandi. Results The operations of 220 patients with ectopic pregnancy were carried on completely under the laparoscopy and there was no open surgery and no operative and postoperative complications. There was a significant difference of the rate of the fallopian recanalization between the Salpingostomy and Salpingectomy after the operation （ P 〈 0. 05 ）. Conclusion It was safe, accurate, manageability, revorefing fastly postoperation of the laparoseopy opreration. It was the head method of the laparoscopy opreration for the patients with ectopie pregnancy wishing to keep reproductive ability.