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回顾性分析了88例妊娠妇女因附件疾病进行手术的结果，比较了腹腔镜和剖腹手术的并发症及对妊娠预后的影响。所行手术中，39次为早期妊娠的腹腔镜术；另54例为剖腹手术，25例子妊娠早期进行，29例于妊娠中期进行。其中3例患者在同一次妊娠中手术2次，2例患者在相继的2次妊娠中各手术一次，共计手术93次。在妊娠早期进行的手术除2例疑诊恶性肿瘤外，其余均为急诊手术。在妊娠中期进行手术中，13例附件包块大于6cm，16例为盆腔疼痛。结果显示，妊娠早期手术最常见的诊断是卵巢过度刺激扭转，而妊娠中期则为卵巢囊肿蒂扭转。39次腹腔镜术无孕妇术中术后并发症，54次剖腹手术，无术中并发症，但在妊娠早期手术中3例术后发热，妊娠中期手术中2例术后肺部栓塞。腹腔镜组和剖腹手术组早期妊娠自然流产分别为12．8％和80％，无显著差异，7倒流产患者均为卵巢过度刺激扭转。妊娠早期腹腔镜组，剖腹手术组和中期妊娠剖腹手术组平均孕周分别为38土2．4周，38．6土2．3周和39．5土19周；新生儿体重分别为3123士4129．3if7士65ig和3170土5084。早产情况：腹腔镜组4例，2例双胎，2例3胎；剖腹手术组4例，仅1例3胎。腹腔镜组新生儿畸形2例，l例为轻度尿道下裂，l例为唇裂；剖腹手术组1例大血管移位，新生儿于4个月时死?
A retrospective analysis of 88 pregnant women due to attachment disease surgery results compared laparoscopic and laparotomy complications and prognosis of pregnancy. Among the surgeries performed, 39 were laparoscopic for early pregnancy; the other 54 were laparotomy, 25 were performed in the first trimester and 29 in the second trimester. Three of the patients underwent surgery twice during the same pregnancy, and two patients underwent one operation after two consecutive pregnancies, for a total of 93 operations. Surgery in the first trimester of pregnancy in addition to 2 cases of suspected malignancy, the rest are emergency surgery. In the second trimester of surgery, 13 cases of adnexal mass more than 6cm, 16 cases of pelvic pain. The results show that the most common diagnosis of early pregnancy surgery is ovarian over-stimulation reverse, while the mid-pregnancy ovarian cyst torsion. 39 laparoscopic non-pregnant women postoperative complications, 54 laparotomy, no intraoperative complications, but in the first trimester of pregnancy in 3 cases of postoperative fever, mid-pregnancy surgery in 2 cases of postoperative pulmonary embolism. In the laparoscopic group and the laparotomy group, the spontaneous abortion in the early pregnancy was 12.8% and 80% respectively, with no significant difference. The patients with 7 abortion were over-stimulated by ovarian stimulation. The average gestational weeks in the first trimester laparoscopic group, the laparotomy group and the second trimester laparotomy group were 38 ± 2.4 weeks, 38.6 ± 2.3 weeks and 39.5 ± 19 weeks, respectively; the newborns weighed 3123 4129.3if7 士 65ig and 3170 土 5084. Premature delivery: 4 cases of laparoscopy, 2 cases of twins, 2 cases of 3 births; laparotomy in 4 cases, only 1 case of 3 tires. 2 cases of neonatal malformation in laparoscopic group, 1 case of mild hypospadias, 1 case of cleft lip; laparotomy in 1 case of large vessel displacement, the newborn died at 4 months.