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目的探讨腹腔镜治疗宫外孕的方法和临床疗效。方法选择具备腹腔镜手术适应证的50例宫外孕患者,在腹腔镜下行手术治疗。结果全部患者手术顺利,手术时间40～80min,平均65min,术中出血量50～100ml,平均60ml,50例中行输卵管切除术22例,输卵管开窗取胚21例,伞部妊娠行挤压排除胚胎7例,输卵管保留率56%。住院时间4～7d,平均5d。结论腹腔镜治疗宫外孕创伤小、干扰少、疼痛轻、恢复快、住院时间短、出血少、并发症少、外形美观等优点,值得推广。
Objective To investigate the method and clinical efficacy of laparoscopic treatment of ectopic pregnancy. Methods Fifty patients with laparoscopic indications for ectopic pregnancy underwent laparoscopic surgery. Results All the patients underwent surgery successfully. The operation time was 40 ~ 80min with an average of 65min. The blood loss was 50 ~ 100ml with an average of 60ml. Among them, 50 cases underwent tubal resection in 22 cases, 7 cases of embryos, tubal retention rate of 56%. Hospitalization time 4 ~ 7d, an average of 5d. Conclusions Laparoscopic treatment of ectopic pregnancy with less trauma, less interference, pain, fast recovery, shorter hospital stay, less bleeding, fewer complications, beautiful appearance, etc., is worth promoting.