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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134例异位妊娠实施腹腔镜手术,与同期开腹手术100例进行比较。结果134例中行腹腔镜下输卵管切除术100例,输卵管切开取胚术20例,卵巢修补8例,输卵管近伞部妊娠物挤出术6例,均获成功,无1例中转开腹,无术后并发症发生,无持续性异位妊娠发生。开腹组按常规进行手术。腹腔镜组手术时间(30±4.5)min,术中出血量(5.0±1.5)ml,术后肛门排气时间(8.0±1.5)天,术后开始下床时间(6.0±0.8)h,住院时间(4.0±0.4)天,与开腹组相比经统计学处理有显著差异(P<0.01)。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 investigate the value of laparoscopic surgery in the diagnosis and treatment of ectopic pregnancy. Methods Laparoscopic surgery was performed on 134 cases of ectopic pregnancy, compared with 100 cases of laparotomy in the same period. Results Among the 134 cases, 100 cases were undergone laparoscopic tubal resection, 20 cases underwent tubal incision and embryooplasty, 8 cases were repaired by ovary, 6 cases were treated by pregnancy-induced tubal incision. All cases were successful, No postoperative complications occurred, no persistent ectopic pregnancy occurred. Open group according to conventional surgery. The laparoscopic operation time (30 ± 4.5) min, intraoperative blood loss (5.0 ± 1.5) ml, postoperative anal exhaust time (8.0 ± 1.5) days, postoperative bed entry time (6.0 ± 0.8) h, hospital stay Time (4.0 ± 0.4) days, compared with the open group statistically significant difference (P <0.01). Conclusion Laparoscopy is helpful for the early diagnosis of ectopic pregnancy. Laparoscopic treatment of ectopic pregnancy is safe, effective and quick to recover.