宫外孕不同术式处理的149例结局分析

Result analysis of different operation procedures for 149 cases with ectopic pregnancy

目的比较宫外孕不同术式的优劣。方法采取回顾性分析的方法,对澳大利亚一所医院宫外孕手术处理的149例病例的手术趋势和结局进行分析。结果18.8%的宫外孕患者有宫外孕发病高危因素,盆腹腔感染是首位发病高危因素,但无逐年增加的趋势。腹腔镜替代开腹手术的趋势是明显的。腹腔镜和开腹手术的成功率均为100%,未发生一例手术严重并发症。在手术时间和术后住院时间上,腹腔镜下的输卵管造口术均短于开腹的输卵管造口术。结论盆腹腔感染是首位发病高危因素。对宫外孕患者行输卵管造口术和输卵管切除术,腹腔镜优于开腹。

Objective To compare the surgical managements for ectopic pregnancy.Methods In a retrospective analysis,to examine the trend of operation procedures and the results of different management in 149 patients.Results The change from laparotomy to laparoscopic treatment was significant.The success rates of salpingostomy and salpingectomy under laparoscopy or laparotomy were 100%.No serious complications occurred.The operation time and length of hospital stay for laparoscopic salpingostomy were shorter than those for laparotomy with salpingostomy.Conclusion Laparoscopic salpingostomy and laparoscopic salpingectomy are better than laparotomy in the treatment of ectopic pregnancy.