摘要
目的研究腹腔镜手术治疗异位妊娠的临床效果及安全性。方法对2003年1月~2006年12月在沈阳市妇婴医院妇科采用腹腔镜手术治疗1849例异位妊娠患者的临床资料进行回顾性分析。1608例行输卵管切除术,241例行保守性手术。272例同时行其他手术,其中卵巢囊肿剥除术87例,子宫肌瘤核除术38例,盆腔粘连松解术83例,对侧输卵管结扎术64例,对侧输卵管造口术28例。结果1849例患者均于腹腔镜下完成手术,无1例中转开腹,无副损伤。平均手术时间(28±7)min。保守性手术后,10例发生持续性异位妊娠,均行保守治疗成功。结论随着腹腔镜镜下操作技术水平的不断提高,除严重盆腹腔粘连的患者,异位妊娠手术均可以在腹腔镜下完成。即使术前已伴发失血性休克,在有效抗休克治疗的同时,在腹腔镜下完成手术也是安全可行的。对有生育要求的异位妊娠患者,应尽量行输卵管保守性手术。
[Objective] To investigate the effect and safety of laparoscopic surgery for ectopic pregnancy. [Methods] A retrospective study of laparoscopic surgery for ectopic pregnancy was conducted in this setting. From January 2003 to December 2006, 1 849 women with ectopic pregnancy were treated with laparoscopic surgery, among which 1608 received unilateral salpingectomy, others got conservative operations. Besides the above treatment, 272 out of the 1 849 women did other operations simultaneously, including 87 ov...
出处
《中国内镜杂志》
CSCD
北大核心
2008年第7期713-715,共3页
China Journal of Endoscopy