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目的评价腹腔镜技术在异位妊娠治疗中的应用价值。方法开腹手术采用常规开腹行保守性手术,输卵管切除术或卵巢胚胎剔除术,腹腔镜下手术方式有:输卵管切除术、输卵管切开术、输卵管内胚胎取出术、卵巢内胚胎取出术等。结果近年来由于腹腔镜的介入,使输卵管妊娠保守治疗有了各种改进,评价异位妊娠腹腔镜手术治疗的疗效及安全性,腹腔镜下异位妊娠手术完全可以有效用于临床,且就有创伤小、恢复快的特点,患者痛苦小,住院时间短,术后并发症少,异位妊娠为妇科常见及腹症之一,部分患者就诊时病情已经很危重,随着腹腔镜的技术不断提高及开展,腹腔镜手术越来越广泛地应用于妇科急腹症,虽然异位妊娠有些合并低血容量休克,原为腹腔镜手术禁忌症,但临床只要处理得当,也能顺利地完成手术。结论目前腹腔镜手术已经替代开腹手术数年了,回顾性分析了我科2008年至2010年收治的异位妊娠患者110例,68例行腹腔镜手术治疗的临床资料,其中还有认为腹腔镜治疗异位妊娠具有无碍美观的手术切口这一特点,而手术失血量经临床观察对照明显少于开腹手术的失血量。腹腔镜手术治疗可以在短时间内完成异位妊娠的探查及止血,对循环和呼吸系统干扰小,同时缩短了保守观察的时间,对挽救病人的生命及术后恢复有很大的临床意义,因此腹腔镜已成为治疗异位妊娠的理想的手术方法,采用临床异位妊娠病历110例:随机分为腹腔镜组及开腹手术组,每组55例,腹腔镜手术成功率为96.7%。
Objective To evaluate the value of laparoscopy in the treatment of ectopic pregnancy. Methods The laparotomy was performed under conventional laparotomy with conservative surgery, tubal resection or ovariectomy. The methods of laparoscopic surgery include tubal resection, tubal incision, tubal embryo retrieval, and embryo retrieval in ovary . Results In recent years, due to laparoscopic intervention, the conservative treatment of tubal pregnancy has been a variety of improvements in the evaluation of ectopic pregnancy laparoscopic surgery efficacy and safety, laparoscopic ectopic pregnancy surgery can be effectively used in clinical and Trauma and rapid recovery characteristics of patients with small pain, shorter hospital stay, fewer postoperative complications, ectopic pregnancy and gynecology is one of the common gynecological diseases, some patients at the time of treatment has been very critical, with the laparoscopic technique Continue to improve and carry out laparoscopic surgery more widely used in gynecological acute abdomen, although some ectopic pregnancy hypovolemic shock, was a contraindication for laparoscopic surgery, but as long as the clinical treatment properly, but also successfully completed surgery. Conclusion Laparoscopic surgery has been replaced by laparoscopic surgery for several years. The clinical data of 110 cases of ectopic pregnancy and 68 cases of laparoscopic surgery treated in our department from 2008 to 2010 were retrospectively analyzed. Among them, Mirror treatment of ectopic pregnancy with no adverse aesthetic appearance of the surgical incision, and the amount of surgical blood loss by clinical observation of the control was significantly less than the amount of blood loss in open surgery. Laparoscopic surgery can be completed in a short time to detect ectopic pregnancy and stop bleeding, the circulation and respiratory system interference small, while reducing the time of conservative observation, to save the patient’s life and postoperative recovery of great clinical significance, Laparoscopy has become an ideal surgical method for the treatment of ectopic pregnancy. Clinical records of 110 cases of ectopic pregnancy were randomly divided into laparoscopic group and laparotomy group, 55 cases in each group. The success rate of laparoscopic surgery was 96.7%.