腹腔镜治疗异位妊娠85例临床分析

Laparoscopic treatment of ectopic pregnancy clinical analysis of 85 cases

目的:探讨电视腹腔镜治疗异位妊娠的安全性、优越性。方法:回顾2008.1-2010.6我院收治的异位妊娠患者,其中85例采用腹腔镜治疗,与同期45例开腹手术相比较,根据妊娠部位及患者有无生育要求及盆腔具体情况,采用不同手术方式。结果:85例腹腔镜手术均获成功,无一例中转开腹。两组病人在年龄、腹部手术史、慢性盆腔炎史,无明显差异;比较两组手术时间、术中出血量、术后排气时间、术后镇痛时间及住院时间,两组有显著差异。结论:腹腔镜治疗异位妊娠是一种理想手术方式,是安全的,且不需要进腹,腹部无疤痕,术后粘连少,对需要以后多次手术的尤为适用。

Objective： To evaluate the laparoscopic treatment of ectopic pregnancy safety, superiority. Methods： 2008.1- 2010.6 ectopic pregnancy in our hospital patients, 85 were treated with laparoscopic surgery, wit.h the same period 45 cases of open surgery compared to patients according to location and availability of fertility pregnancy and pelvic specific conditions re- quired by different surgical way. Results： 85 patients undergoing laparoscopic surgery were successful, with no conversion to open surgery. Two groups in age, abdominal surgery, history of chronic pelvic inflammatory disease, no significant difference; compared two groups of operating time, blood loss, postoperative discharge time, postoperative pain and hospital stay, the two groups were significantly different . Conclusion： Laparoscopic treatment of ectopic pregnancy is an ideal surgical procedure is safe and does not need into the abdomen, abdominal no scars, less postoperative adhesions, the need for repeated surgery, especially for the future.