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目的:探讨腹腔镜治疗异位妊娠的临床价值。方法:回顾性分析2006年9月～2008年11月苍南县人民医院经腹腔镜治疗的82例异位妊娠患者的临床资料。结果:腹腔镜治疗82例异位妊娠,其中输卵管妊娠78例,卵巢妊娠4例。腹腔镜下行输卵管切除术51例,输卵管切开取胚术26例,子宫角切开取胚术1例。无中转开腹。2例术中出现腹壁静脉损伤,自行好转。手术时间为20～100min,平均56min,平均住院4.5天。结论:腹腔镜手术治疗异位妊娠具有安全有效、创伤小、手术时间短、术后恢复快、住院天数短、并发症少等优点,是异位妊娠的最佳手术治疗方法。
Objective: To investigate the clinical value of laparoscopic treatment of ectopic pregnancy. Methods: The clinical data of 82 cases of ectopic pregnancy treated by laparoscopy in Cangnan People’s Hospital from September 2006 to November 2008 were retrospectively analyzed. Results: Laparoscopy treatment of 82 cases of ectopic pregnancy, tubal pregnancy in 78 cases, 4 cases of ovarian pregnancy. Laparoscopic tubal resection in 51 cases, tubal incision embryo implantation in 26 cases, uterine incision embryo surgery in 1 case. No transit lax. 2 cases of intraoperative abdominal wall injury, self-improvement. Surgery time was 20 ~ 100min, an average of 56min, the average hospital stay 4.5 days. Conclusion: Laparoscopic surgery for ectopic pregnancy is safe and effective, less trauma, shorter operative time, faster recovery, shorter hospital stay, fewer complications and so on. It is the best surgical treatment for ectopic pregnancy.