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目的探讨腹腔镜治疗异位妊娠的临床应用价值。方法腹腔镜下手术治疗异位妊娠148例,全部采用全身麻醉,镜下手术方式:输卵管切除术、输卵管切开术、输卵管内胚胎取出术、卵巢内胚胎清除术,术后1～3d抗生素预防感染,术后3～5d可出院。结果腹腔镜下手术成功率为98.6%,手术平均时间(40.15±6.35)min,术中平均出血(6.7±0.5)ml,术后排气平均时间(9.5±1.2)h,术后平均住院天数(4.5±0.9)d,无术后病率发生。结论腹腔镜手术创伤小、恢复快、术后并发症少,腹腔镜治疗异位妊娠将成为今后的主要手术方法。
Objective To investigate the clinical value of laparoscopic treatment of ectopic pregnancy. Methods Laparoscopic surgery for 148 cases of ectopic pregnancy, all using general anesthesia, microscopic surgical methods: tubal resection, tubal incision, tubal embryo removal, ovarian endometrial ablation, 1 to 3 days after antibiotic prophylaxis Infection, 3 ~ 5d after surgery can be discharged. Results The success rate of laparoscopic surgery was 98.6%, the average operation time was 40.15 ± 6.35 min, the intraoperative average bleeding was 6.7 ± 0.5 ml, the average duration of postoperative exhaust was 9.5 ± 1.2 h, the average postoperative hospital stay (4.5 ± 0.9) d, no postoperative morbidity. Conclusion Laparoscopic surgery trauma, fast recovery, fewer postoperative complications, laparoscopic treatment of ectopic pregnancy will become the main surgical approach.