腹腔镜治疗异位妊娠238例临床分析

The Clinical Analysis of 238 Cases of Ecptopic Pregnancy with Treatment of Laparoscopy

关键词:  腹腔镜,异位妊娠,手术方式

Key words:  laparoscopy,ectopic pregnancy,methods of operation

摘要:

目的　探讨腹腔镜下异位妊娠各种处理方式的临床价值。方法　 1998- 2 0 0 2年用腹腔镜进行异位妊娠手术 2 38例。保守手术包括局部药物注射、开窗或破裂口取卵 ,开窗取卵后常规给予米非司酮 2 5mg ,2次 /d ,口服 3～5d。根治手术包括三套圈结扎和电凝 (超声刀 )。结果　腹腔镜手术无论何种方式越熟练时间越短 ,出血越少 ;其中运用超声刀行开窗取卵术尤佳 ;开窗取卵后加用米非司酮 ,持续性异位妊娠率为零。结论　异位妊娠希望保留生育功能者日渐增多 ,首选腹腔镜下输卵管开窗取卵术 ;减少切口出血 ,避免反复止血 ,是保守成功的关键 ;术后密切观察血中人绒毛膜促性腺激素 (chumanchorioinicgonadotrophin ,HCG)值 ,辅助用药可避免持续性异位妊娠。

Abstract:

Objective To explore the clinical significancy of various treatments of laparoscopy in ectopic pregnancy.Methods There were 238 cases applying laparo scopy during 1998 to 2002.Conservative operations included local medicine injection and oviduct fenestr