腹腔镜手术治疗异位妊娠临床分析

Study on the clinical treating ectopic pregnancy with laparoscopy

目的探讨腹腔镜手术在异位妊娠诊断和治疗中的价值。方法对2007-01—2012-01间130例异位妊娠实施腹腔镜手术,与同期开腹常规手术100例进行比较。结果行腹腔镜下输卵管切除术92例,输卵管切开取胚术22例,输卵管近伞部妊娠物挤出术9例,卵巢修补7例,均获成功,无1例中转开腹,无术后严重并发症发生,无持续性异位妊娠发生。腹腔镜组手术时间,术中出血量,术后肛门排气时间,术后开始下床时间,住院时间,与开腹组相比差异有统计学意义(P<0.05)。结论腹腔镜有利于异位妊娠的早期诊断,腹腔镜治疗异位妊娠具有安全、有效、恢复快的优点。

Objective To explore the value of laparoscopy in the diagnosis and treatment of ectopic pregnancy. Methods Laparoscopic operation was performed in 130 cases between 2007 - 01--2012 - 01, comparing with abdominal surgery in 100 eases. Results We used the laparoscopy to perform the salpingectomy in 92 cases,to take embryo with opening fallopian tube in 22 cases ,to extrude gestational sac in tim- bria in 9 cases to repair ovary in 7cases, All cases were operated successfully, No case was changed by the abdominal surgery during the operation. There was no complication after operation, NO persistent ectopic pregnancy was occurred in all cases. The abdominal surgery was performed in 100 cases routinely. The surgical time , the blood amount loss during operation, the mean recovery time of bowel function the time staying on bed after the operation, the time staying in hospitalafter operation Those dates of Laparoscopic - operation - group have an obvious statistical difference with abdominal - surgery -group（P 〈0.05）. Conclusion Laparoscopy is valuable in the early diagnosis of ectopic pregnancy,laparoscopic operation is safe and effective in the treatment of ectopic pregnancy.