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目的探讨腹腔镜治疗输卵管妊娠的价值,总结治疗经验。方法采用腹腔镜下治疗659例输卵管妊娠,术中在腹腔镜下行输卵管切除术249例,输卵管开窗术410例;其中自体血液回输104例;无中转开腹。结果 659例输卵管妊娠手术全部在腹腔镜下完成,平均手术时间为(30.0±13.0)min,术后3～6d出院,平均住院(4.0±0.9)d;术后血绒毛膜促性腺素复查均可降至正常范围,治愈率100%。术后吸收热23例,经对症处理热退;11例肩胛区疼痛,术后3d自然消失;无明显并发症及手术死亡。结论腹腔镜治疗输卵管妊娠具有微创、术后恢复快、并发症少、安全、有效等优点,可作为临床首选方法。
Objective To investigate the value of laparoscopic tubal pregnancy and summarize the experience of treatment. Methods Laparoscopic treatment of 659 cases of tubal pregnancy, intraoperative laparoscopic resection of tubal in 249 cases, 410 cases of fallopian tube ophthalmoscopy; of which 104 cases of autologous blood transfusion; no laparotomy. Results All 659 cases of tubal pregnancy were performed laparoscopically. The average operation time was (30.0 ± 13.0) min and were discharged from 3 to 6 days after operation. The average length of hospital stay was (4.0 ± 0.9) days. The postoperative blood chorionic gonadotropin Can be reduced to the normal range, the cure rate of 100%. 23 cases of postoperative heat absorption, symptomatic treatment by thermal retreat; 11 cases of scapular pain, 3d disappear naturally; no significant complications and surgical death. Conclusions Laparoscopic treatment of tubal pregnancy with minimally invasive, rapid recovery, fewer complications, safe, effective, etc., can be used as clinical preferred method.