既往下腹部手术史患者异位妊娠行腹腔镜诊治32例临床观察

Clinical observation on diagnosis and treatment of 32 patients with ectopic pregnancy by laparoscope with history of lower abdomen surgery

目的:探讨既往有单次下腹部进腹手术史再发异位妊娠患者行腹腔镜诊治的安全性及可行性。方法:对32例有单次下腹部进腹手术史再发异位妊娠的患者行腹腔镜检查及处理盆腹腔粘连情况,并与同期34例无进腹手术史的异位妊娠患者腹腔镜下诊治情况相比较。结果:两组病例的出血量、术后排气时间、住院天数相当,差异无统计学意义(P>0.05);有进腹手术史病例组手术操作时间相对延长(P<0.05)。结论:对有下腹手术史患者选用腹腔镜手术同样安全可行,值得推广。

Objective：To explore the safety and feasibility of laparoscopy in diagnosis and treatment of ectopic pregnancy among the patients with history of single lower abdominal surgery.Methods：32 patients underwent laparoscopy,pelvic adhesion and abdominal adhesion were treated,then they were compared with 34 patients without history of abdominal surgery.Results：There was no significant difference in amount of bleeding,postoperative anus exhausting time,postoperative hospital stay between the two groups （P 0.05）.The operation time of patients with history of single lower abdominal surgery was significant longer than that of patients without history of abdominal surgery （P 0.05）.Conclusion：Laparoscopy is safe and feasible for patients with history of lower abdominal surgery,which is worth popularizing.