摘要
目的:探讨有妇产科手术史的异位妊娠患者行腹腔镜治疗的可行性和适应证。方法:以100例有妇产科手术史的异位妊娠患者为研究对象,其中62例患者有1次妇产科手术史,38例患者有2次妇产科手术史,所有患者均行腹腔镜治疗。观察患者的手术效果、盆腹腔粘连情况、中转开腹、术中出血、手术时间及术后并发症。结果:腹腔镜成功率为88%,中转开腹率为12%。一次手术史患者粘连率、中转开腹率明显低于二次手术史患者(P<0.05),术中出血量、手术时间明显少于二次手术患者(P<0.05),一次手术史患者术后并发症的发生率明显低于二次手术史患者(P<0.05)。结论:妇产科手术后再次腹腔镜治疗异位妊娠的手术成功率较高,是一种理想的手术方式。同时,患者妇产科手术史次数与盆腹腔粘连程度、中转开腹率、术中出血量、手术时间及并发症发生率呈正相关。多次妇产科手术史会增加腹腔镜手术难度,行腹腔镜手术时应慎重。
Objective：To investigate the department of obstetrics and gynecology operation history of ectopic pregnancy treated by laparoscopy in the treatment of the feasibility and indications. Method：100 patients,ectopic pregnancy with obstetrics and gynecology operation history,were selected as the research object,in which 62 cases had 1 obstetrics and gynecology operation history,38 patients had 2 obstetrics and gynecology operation history,all the patients were treated by laparoscopy. To observe the effect of operation,patients with peritoneal adhesion,conversion to open surgery,intraoperative bleeding,operation time and postoperative complications Result：The success rate of laparoscopy was 88%,the conversion rate was 12%. The conversion rate was significantly lower than the two times of operation in patients with a history of operation in patients with a history of the adhesion rate,intraoperative bleeding volume,operation time was less than two operation patients（ P 0.05）. An operation in patients with a history of postoperative complication rate was significantly lower in patients with a history of two operation（ P 0.05）. Conclusion：The laparoscopic treatment of ectopic pregnancy,obstetrics and gynecology operation after the operation success rate is high,and is an ideal operation method. At the same time,the number of patients in gynecology and obstetrics operation history and abdominal and pelvic adhesion degree,conversion to open surgery,intraoperative bleeding volume,operation time and complication rate is positively correlated with. Many obstetrics and gynecology operation history will increase the difficulty of laparoscopic operation, should be careful when laparoscopic operation.
出处
《中国医学创新》
CAS
2013年第24期13-14,共2页
Medical Innovation of China
关键词
异位妊娠
腹腔镜
妇产科手术史
Ectopic pregnancy
Laparoscope
Gynecology and obstetrics operation history
