腹腔镜治疗宫外孕321例临床分析

目的对宫外孕的治疗方法及临床疗效进行分析,以期指导临床。方法回顾性分析2009年1月～2011年10月四川攀枝花市妇幼保健院妇产科对321例宫外孕患者的腹腔镜手术治疗。根据实际情况,分别采用输卵管取胚术、输卵管完全性切除手术、输卵管部分切除术。结果手术时间20～145min,腹腔出血量0～650mL。结论对宫外孕患者应用腹腔镜进行治疗的优点很多,但技术要求高、视野范围小、操作范围窄、费用高。

Objective It is to report the actual clinical effect of using laparoscopic operation for treating ectopic pregnancy in the year of 2007. Methods It used retrospective analysis for treating of 321 cases with ectopic pregnancy in recent one year.According to different condition, removing embryo from oviduct,complete resection operation for oviduct and partial resection operation for oviduct were used respectively. Results The operation time was from 20 to 145 minutes. The blood loss in operation was about 0-650 mL.The anus exhaust time was approximately 3-13 hours. The time of normal detaining urethral catheterization was average 6 hours. The average time of ground activity was 8 hours. The average time of hospitalization was 3 days. Conclusion There are some advantages for laparoscopic operation to treat ectopic pregnancy, such as little injury, less pain,performing-rapid recovery and controlling blood wholly. On the other hand, it also has some disadvantages, such as a complex operation,limited view scope, small operation space and high cost.