摘要
目的探讨腹腔镜手术在诊治异位妊娠的临床应用价值。方法回顾性分析腹腔镜下诊断和治疗108例异位妊娠的临床资料。结果确诊输卵管妊娠100例,陈旧性宫外孕6例,卵巢妊娠2例。在腹腔镜下行输卵管切除术73例,输卵管切开取胚术22例,输卵管妊娠流产病灶清出术11例,卵巢部分切除术2例。无中转开腹。手术时间30～132min,平均46min。术后平均住院日4.3天。98例随访2～24月,血β-HCG恢复正常,B超检查未发现附件包块,5例已妊娠,2例再次发生宫外孕。结论腹腔镜手术在异位妊娠的诊断和治疗中有双重作用,对盆腹腔干扰少,创伤小,术后疼痛轻,恢复快,是一种安全可靠的诊治方法。
Objective To explore the clinical value of laparoscope in diagnosis and treatment of ectopic pregnancy. Methods108 cases of ectopic pregnancy were diagnosed and treated by using laparoscope. Results Using laparoscopy,100 caseswere diagnosed as fallopian pregnancy,6 cases as old ectopic pregnancy, 2 cases as ovarian pregnancy.73 cases were con-ducted by Salpingectomy; 22 cases were treated by slitting tube to take out embryo; debridement, 11 cases; 2 cases treatedby ovarian partial resection. Operating time was from 30～132 min (average 46min). The average hospital stay is 4.3 days.98 cases were followed up from 2～24months with normal sensitive human chorionic gonadotropinbeta. Conclusion La-paroscope has great value in diagnosing and treating ectopic pregnancy with little trauma.
出处
《中国医药导报》
CAS
2006年第32期29-30,共2页
China Medical Herald
关键词
腹腔镜
异位妊娠
诊治
laparoscope
ectopic pregnancy
diagnosis and treatment
