腹腔镜检查治疗异位妊娠117例分析

Analysis of laparoscopy in the treatment of ectopic pregnancy in 117 cases

目的观察腹腔镜诊治异位妊娠的临床效果。方法 2010年5月～2012年4月,本院使用腹腔镜诊治的117例异位妊娠患者,术中根据情况选择手术方法。结果本组117例患者中,有1例因镜下止血困难中转开腹治疗成功,其余均在腹腔镜下明确诊断并完成手术,腹腔镜手术成功率99.15%。手术时间25～110min,术后留置尿管6～12h,排尿时间6～20h;术后肛门排气时间12～24h,住院天数3～5d;术后3d血β-HCG下降均大于50.00%,B超复查均未发现盆腔包块。无一例发生严重并发症,所有切口均Ⅰ期愈合。结论腹腔镜治疗异位妊娠具有创伤小、术后恢复快、并发症少的优点,值得临床推广。

Objective To observe the clinical effect of laparoscopy in the diagnosis and treatment of ectopic pregnancy.Methods One hundred and seventeen cases of ectopic pregnancy patients were given the use of laparoscopy for diagnosis and treatment in our hospital from May 2010 to April 2012 and operation methods were chosen according to the circum stances with intraoperative.Results Among 117 cases,1 case was successful with open treatment because of endoscopic hemostasia difficulty,the rest finished the diagnosis with definite by laparoscopic and completed the operation,the success rate of laparoscopic operation was 99.15%.operation time was 25-110 min,time of indwelling catheter voiding in postop erative was 6-20 h;time of micturition was 6-12 h,time of anus exhaust in postoperative was 12-24 h,length of hospital stay was 3-5 d;β-HCG blood was dropped more than 50.00% after operation for 3 d,B ultrasound review found no pelvic mass.No serious complications occurred,all the cuts were healed by I period.Conclusion Laparoscopic in the treatment of ectopic pregnancy has the advantage of less trauma,faster postoperative recovery,less complications,which is worthy of clinical application.