论文部分内容阅读
目的探讨腹腔镜手术治疗宫外孕的临床效果。方法回顾性分析2008年3月至2011年5月间我院经腹腔镜手术治疗的33例宫外孕患者临床资料。结果 33例手术均成功,无中转开腹者,术后病理检查确诊输卵管妊娠,手术时间16～52min,平均34min,术中出血(60±18)ml;壶腹部妊娠未破裂型21例。壶腹部妊娠破裂5例,峡部妊娠7例,术后1～2d肛门排气,无出血、感染等并发症发生,32例1周后复查血β-HCG降至正常,术后发生持续宫外孕1例,使用MTX治疗后血HCG恢复正常。结论腹腔镜手术治疗宫外孕创伤小、手术时间短、出血少、恢复快,并发症少,住院时间短,能保留生育功能,临床疗效满意。
Objective To investigate the clinical effect of laparoscopic surgery for ectopic pregnancy. Methods The clinical data of 33 cases of ectopic pregnancy treated by laparoscopy in our hospital from March 2008 to May 2011 were retrospectively analyzed. Results All the 33 cases were successful in operation. There was no transit laparotomy. The postoperative pathological examination confirmed tubal pregnancy. The operation time was 16-52 minutes (average 34 minutes) and intraoperative bleeding was (60 ± 18) ml. The ampulla of unruptured type were 21 cases. 5 cases of pregnancy rupture in ampulla, 7 cases of isthmus pregnancy, 1 to 2 days after operation, anal exhaust, no bleeding, infection and other complications occurred, 32 cases returned to normal after 1 week of serum β-HCG, postoperative persistent ectopic pregnancy 1 For example, blood HCG returned to normal after treatment with MTX. Conclusions Laparoscopic surgery for ectopic pregnancy is small, the operation time is short, less bleeding, rapid recovery, fewer complications, shorter hospital stay, can retain the reproductive function, clinical efficacy satisfactory.