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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2005年1月至2009年9月经腹腔镜诊治的260例异位妊娠患者的临床资料进行回顾性分析。结果 257例腹腔镜下完成手术,无并发症发生,中转开腹3例,其中卵巢妊娠4例,输卵管妊娠256例,破裂型118例,流产型142例,保留输卵管98例,术中行输卵管通液39例,同时行对侧输卵管造口29例,手术时间20～110min,平均41min,住院时间3～7d,平均4.5d。结论腹腔镜手术微创、有效、安全、易行,对患者损伤小,术后恢复快,可作为异位妊娠手术的首选。
Objective To investigate the value of laparoscopic surgery in the diagnosis and treatment of ectopic pregnancy. Methods The clinical data of 260 cases of ectopic pregnancy diagnosed and treated by laparoscopy from January 2005 to September 2009 were analyzed retrospectively. Results 257 cases underwent laparoscopic surgery without complications and 3 cases were converted to laparotomy. Among them, 4 cases of ovary pregnancy, 256 cases of tubal pregnancy, 118 cases of rupture, 142 cases of abortion, 98 cases of fallopian tube reservation, Fluid 39 cases, while contralateral tubal ostomy in 29 cases, operation time 20 ~ 110min, an average of 41min, hospital stay 3 ~ 7d, an average of 4.5d. Conclusions Laparoscopic surgery is minimally invasive, effective, safe and easy to operate. It has less damage to the patient and quick recovery after operation. It can be used as the first choice for ectopic pregnancy.