129例异位妊娠腹腔镜手术临床观察

Clinical investigation on laparoscopic operation for ectopic pregnancy in 129 cases

目的:探讨腹腔镜手术治疗异位妊娠的临床应用价值。方法:回顾性分析我院异位妊娠腹腔镜手术治疗129例的临床资料。结果:腹腔镜手术均成功,术中出血平均20ml(10～60ml),平均手术时间为45min(25～80min),术后住院平均3d(2～5d),129例病人中无1例行第二次手术,月经于术后1～3个月恢复正常。结论:异位妊娠腹腔镜手术安全可行,具有创伤小、疼痛轻、恢复快、并发症少等优点。

Objective：To explore the clinical value of laparoscopic operation in the treatment of ectopic pregnancy.Methods： 129 cases of eetopic pregnancy from Novmeber 2001 to December 2006 affter TV laparoseopic surgery in our hospital were retrospectively analyzed.Results ：Laparoseopic surgery was successfully performed in 129 cases, with mean intraoperative blood loss of 20 ml （10-60 ml）,mean operation time of 45 min（range25~80 min）and mean postoperative hospital stay of 3d（2-5d）.No one performed the operation again in all 129 patients.In the follow-up for 129 cases ,menstruation restored inl-3months.Conclusion：Laparoscopic surgery for ectopie pregnancy is safe and effective, with advantages of minimal invasion, less pain, rapid recovery and fewer complications.