| 摘要: |
| ［摘要］ 目的 探讨腹腔镜下异位妊娠治疗的可行性。方法 2008-05～2009-04采用腹腔镜治疗输卵管异位妊娠65例（腹腔镜组），根据病变情况及患者是否要求保留生育功能分别采取输卵管切除术或开窗术。并随机抽2003-08～2005-06我科收治的异位妊娠开腹手术的65例（对照组），对两组五项观察指标进行比较。结果 腹腔镜组65例异位妊娠均在腹腔镜下完成手术，65例均经病理证实，术前诊断符合率为100%。65例中同时合并卵巢囊肿4例，合并盆腔粘连18例，合并不孕症8例。与开腹手术相比，腹腔镜组从手术时间、术中出血量、住院天数、术后恢复自如活动、肛门排气时间等明显优于开腹组（P均<0.01）。结论 腹腔镜手术具有安全、微创、快捷等特点，腹腔镜手术治疗异位妊娠的近期和远期效果均优于开腹手术，腹腔镜手术已成为异位妊娠手术治疗的标准方法之一。 |
| 关键词: 异位妊娠 腹腔镜手术 |
| DOI：10.3969/j.issn.1674-3806.2009.11.32 |
| 分类号:R 713. 8 |
| 基金项目: |
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| Clinical analysis on laparoscopic treatment in 65 case of ectopic pregnancy |
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ZEN Li-Li
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Department of Obsterics and Eynecoclogy, Luzhai Hospital of Traditonal Chinese Medicine, Guangxi 545600, China
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| Abstract: |
| ［Abstract］ Objective To study the feasibility of laparoscopic treatment for ectopic prenancy.Methods Sixty-five cases of ectopic pregnancy received laparoscpic treatment in our hospital from May 2008 to April 2009 were selected as laparoscopic gourp, another 65 cases of ectopic pregnancy received open surgery in our hospitol form August 2003 to June 2005 were selected as open surgery group (control group).On the basis of the disease condition and the patients′ requirement for the preserving fertility, salpingctomy or orduct fenestration were performed in these patients. The operation time, intraoperative blood loss volume, hospitalization days, recovery time of post operative free activities and anal exsufflation time between two groups were compared.Results The operative were successfully completed in 65 cases in the laparoscopic groups.Among them 65 cases were diagnosed during operation.The preoperative diagnostic coincidence rate was 100%.Of 65 cases, 4 cases were complicated with ovarian cyst, 18 cases were complicated with pelvic cavity adhesion, 8 cases were complicated with infertility.The above-mentioned five index in the laparoscopic group were significantly superior to those in the open surgery group (all P<0.01).Conclusion Laproscopic operation has the advantages such as safety, minimal invasion, and rapid, and so on.The short-term and long-term effects of laparoscopic operation in the treatment of ectopic pregnancy were superior to those of open surgery.Laparoscopic operation has become one of the standard operation methods for the treatment of ectopic pregnancy. |
| Key words: Ectopic pregnancy Laparoscopic operation |
