手术治疗异位妊娠239例临床分析

    Surgical treatment for 239 cases of ectopic pregnancy

    • 摘要: 目的:探讨异位妊娠的手术治疗方法及临床价值。方法:239例异位妊娠随机分为剖腹手术组107例,腹腔镜手术组132例;其中腹腔镜下输卵管切除术88例,腹腔镜下输卵管切开取胚术加术后甲氨蝶呤注射31例,腹腔镜探查加诊刮术9例,中转开腹4例。结果:腹腔镜手术较经腹手术时间明显缩短(P<0.01),术后吸收热、腹胀的发生率及住院时间和术中出血量均减少(P<0.01)。结论:腹腔镜手术治疗异位妊娠是手术发展的方向,具有创伤小、恢复快的特点。

       

      Abstract: Objective:To investigate the surgical procedures for treatment of ectopic pregnancy.Methods:Two hundred thirty nine cases of ectopic pregnancy were randomly divided into laparotomy group (107 cases) and laparoscopic surgery group (132 cases).Eighty-eight cases in the laparoscopic surgery group received laparoscopic salpingectomy,31 cases laparoscopic tubal incision surgery to take out the embryos from the oviduct and were injected MTX after the operation,9 cases underwent laparoscopic exploration plus curettage,and 4 cases resorted to laparotomy.Results:The operation time for laparoscopic surgery was much less than that for laparotomy (P<0.01),and the incidence of absorption fever or abdominal distension was less in the laparoscopic group,and the hospital stay after surgery was shorter in the laparoscopic group (P<0.01).Conclusions:Laparoscopic surgery has the advantages of minimal invasion and rapid recovery,which promises to be the main surgical method for treatment of ectopic pregnancy in the future.

       

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