出血性宫外孕腹腔镜手术120例临床分析

CLINICAL ANALYSIS OF LAPAROSCOPE FOR HEMORRHAGIC ECTOPIC PREGNANCY:A REPORT OF 120 CASES

摘要:

目的 :探讨出血性宫外孕腹腔镜手术的可行性。方法 :将 1997年 8月～ 2 0 0 1年 8月出血性宫外孕 170例随机分成腹腔镜组 12 0例 ,开腹组 5 0例 ,比较两组手术时间、术后恢复情况、输卵管通畅及并发症。结果 :腹腔镜组比开腹组恢复快、住院时间短、通畅率高、并发症少等优点。手术时间 ,开展腹腔间镜初期 (1997年 8月～ 1999年 7月 )长于开腹组 ,后来 (1999年 7月～ 2 0 0 1年 8月 )都短于开腹组。结论 :腹腔镜手术可应用于出血性宫外孕 ,也可急诊进行手术 ,不增加并发症 ,更适合年轻、有生育要求患者。

Abstract:

Objective:To explore the practicability of laparoscope for hemorrhagic ectopic pregnancy.Methods:One hundred and seventy cases of hemorrhagic ectopic pregnancy from August 1997 to August 2001 werc collected.They were randomly devided into two groups, 120 cases for the group of laparoscope and 50 cases for the laparotomy group. Data of operation time, condition of postoperative recovery, tubal patent and complications in both groups were statistically compared.Results: It showed that cases with laparoscope would recover sooner and had advantages of shorter hospitalization, higher rate of patent and less complications . The history of laparoscope operated in our hospital also showed that in the early stage, from August 1997 to July 1999, the operation time in the laparoscope was longer than that in the laparotomy group. It became shorter later, from July 1999 to August 2001.Conclusions:Laparoscope can be applied in cases of hemorrhagic ectopic pregnancy as well as in emergency without added complications. It will satisfy the younger with the demand of pregnancy.