腹腔镜保守手术治疗输卵管妊娠93例分析  

Clinical analysis of 93 patients with tubal pregnancy treated by laparoscopic oviduct-sparing operation

作　　者：常艳[1] 张吉翠[1] 冯国梅[1] 

机构地区：[1]白银市第一人民医院妇产科,甘肃白银730900

出　　处：《甘肃医药》2012年第6期420-422,共3页Gansu Medical Journal

摘　　要：目的:探讨腹腔镜保守手术治疗输卵管妊娠的有效性和安全性。方法:2007年10月至2009年9月白银市第一人民医院妇产科腹腔镜保守治疗输卵管妊娠93例与同期开腹手术56例作对比,比较两组平均手术时间、肛门排气时间、住院天数、血HCG下降率及持续性异位妊娠的发生率的各项指标。结果:与开腹组比较腹腔镜组平均手术时间、肛门排气时间、住院天数、血HCG下降率及持续性异位妊娠的发生率差异均有显著性,腹腔镜组明显优于对照组。结论:腹腔镜保守治疗输卵管妊娠使患者损伤小,恢复快,是首选治疗方法。Objective：To explore the efficacy and safety of laparoscopic oviduct-sparing operation in treating tubal pregnancy patients. Methods： The tubal pregnancy patient of the first people＇s hospital in baiyin city were chosen from Oct 2007 to Sep 2009 in which 93 patients were performed aparoscopic oviduct-sparing operation and 56 patients were performed abdominal surgery. Mean operative time, anus exhaust time, days of hospitalization, serum HCG decreased rate and the incidence of persistent eetopic pregnancy in two groups were compared. Results： There were significant difference in mean operative time, anus exhaust time, days of hospitalization, serum HCG decreased rate and the incidence of persistent ectopie pregnancy between two group in which laparoseopie oviduct-sparing operation group was significantly better than abdominal surgery group. Conclusion： The treatment of laparoseopie oviduct-sparing operation for tubal pregnancy patients is the first treatment method,less damage and rapid recovery.

关 键 词：腹腔镜 输卵管妊娠 手术 

分 类 号：R714.221[医药卫生—妇产科学]