腹腔镜诊治极早期异位妊娠50例临床分析

Clinical analysis on laparoscopy diagnosis and treatment of 50 cases very early ectopic pregnancy

目的探讨腹腔镜诊治极早期异位妊娠的临床应用价值。方法回顾性分析2009年3月至2012年3月嘉峪关市第二人民医院门诊收治的拟诊异位妊娠50例(未破裂型)患者实施腹腔镜诊断手术,判断术前术后诊断的符合率。结果经腹腔镜检查明确早期非破裂输卵管妊娠47例,明确诊断率94%(47/50),其中24例为流产型,23例为未破裂型,术中不能明确诊断3例,术后经观察明确为异位妊娠,予MTX治愈。结论腹腔镜用于极早期的异位妊娠的诊治是很好的选择,但宜选择合适的手术时机。

Objective To investigate clinical value of laparoscopy in very early eetopic pregnancy. Methods Retrospective analysis was performed for clinical diagnosis of 50 cases of ectopic pregnancy （Unruptured ectopic pregnancy） from March 2009 to March 2012 in our hospital.All the patients were given laparoscopic surgery to clarify the diagnosis.The accordance rate before and after the laparoscopy was evaluated. Results After laparoscopy, 47 patients were confirmed as non-ruptured tubal pregnancy,with the confirmative diagnosis rate of 94%（47/50）;24 patients of miscarriage pregnancy, 23 patients of unruptured tubal pregnancy,and 3 patients of undefined.They were cured with MTX. Conclusion Laparoscopy is a very well technique for the diagnosis and treatment of very early ectopic pregnancy, but should be used at proper time.