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目的:探讨腹腔镜早期诊断及治疗特殊部位异位妊娠的价值。方法:回顾分析2005年5月～2008年5月经腹腔镜诊治31例特殊部位异位妊娠患者的临床资料,其中输卵管间质部妊娠21例,卵巢妊娠4例,宫角妊娠3例,腹腔妊娠1例,输卵管残端妊娠2例。结果:腹腔镜手术成功28例,成功率90.3%,平均手术时间(46.3±25.3)min,平均手术出血(63.5±32.6)ml;中转开腹3例;腹腔镜手术无术中、术后并发症发生。结论:腹腔镜用于早期诊断及治疗特殊部位异位妊娠安全可行,不断提高手术技巧,结合术中情况选择合适的手术方式,有助于提高手术成功率。
Objective: To explore the value of laparoscopic diagnosis and treatment of ectopic pregnancy in special parts. Methods: The clinical data of 31 patients with ectopic pregnancy diagnosed by special laparoscopy from May 2005 to May 2008 were retrospectively analyzed. Among them, 21 were oviductal and interstitial pregnancy, 4 were ovarian pregnancy, 3 were cornual pregnancy, 1 case, 2 cases of tubal stump pregnancy. Results: Laparoscopic surgery was successful in 28 cases, with a success rate of 90.3%, average operation time (46.3 ± 25.3) min, mean operative bleeding (63.5 ± 32.6) ml; 3 cases were converted to open laparotomy; laparoscopic surgery without intraoperative and postoperative complications Disease occurs. Conclusions: Laparoscopy is safe and feasible for early diagnosis and treatment of ectopic pregnancy at special sites. It is necessary to improve the technique of surgery and choose the appropriate surgical method in combination with intraoperative conditions, which will help to improve the success rate of operation.