腹腔镜手术诊治异位妊娠145例疗效评价

Effect evaluation of laparoscopic surgery in the diagnosis and treatment of 145 patients with ectopic pregnancy

目的探讨腹腔镜在异位妊娠的诊断和治疗中的价值和意义。方法回顾分析本院145例采用腹腔镜诊治的异位妊娠患者的临床资料。结果 1例患者因慢性盆腔炎症导致粘连严重,手术中转而采取开腹治疗,其余患者在腹腔镜下均顺利完成手术。其中采取输卵管开窗取胚术的患者有87例,采取输卵管切除术的有35例,采取输卵管伞端挤压术的15例,采取卵巢部分切除术的8例。手术时间平均50min,住院时间3～5d,术后恢复效果良好。结论腹腔镜操作简便、术野清晰、出血少、创伤小、痛苦少、恢复快、并发症发生率低等优点,是异位妊娠诊断和治疗的理想方法。

Objective To study the value and meaning on the diagnosis and treatment of peritoncoscope in the ectopic pregnancy. Methods Clinical data of 145 patients with cctopie pregnancy treated by peritoneoscope were analyzed retrospectively. Results Only one patient had serious adhesion because of chronic pelvic inflammation, who turned to the open treatment during the operation, the other patients underwent the operation successfully under the peritoneoscope. 87 pa- tients were given tubal pregnancy embryos extrusion operation, 35 patients were given salpingectomy, 15 cases were given extrusion technique of distal tubal, 8 cases were given ovarian partial nephrectomy. Average operation time was 50 minutes, the lengths of hospital stay were 3-5 days, and the effects of postoperative recover were good. Conclusion Laparoscopic operation has some advantages such as simple, clear operation field, less bleeding, small trauma, less pain, rapid recovery, low complication rate and so on, so it is an ideal method for the diagnosis and treatment of ectopic pregnancy.