摘要
目的 :评估我院可疑异位妊娠 (Ectopicpregnancy,EP)患者腹腔镜 (Laparoscopy ,LSC)早期诊断和急诊手术的临床价值。方法 :87例可疑EP患者均在入院 2 4h内接受急诊LSC手术。结果 :所有病例手术顺利 ,无中转开腹和并发症发生。术中诊断EP患者 76例 (均病理证实 ) ,术前诊断符合率 87.4% ;其余病例依次为卵巢囊肿 8例 (9.2 % )、宫内妊娠黄体破裂 3例 (3 .4% )。施行输卵管切除术 70例 (80 .1 % )、输卵管开窗术 6例(6 .9% ) ,卵巢囊肿剥除术 8例 (9.2 % ) ,卵巢部分切除术 3例 (3 .4% )。 1 2例合并不孕症患者发现 ;1 0例盆腔粘连、5例输卵管卵巢病变 ,均行相应处理。结论 :急诊LSC技术不仅可早期确诊可疑EP患者 ,为保守性治疗赢得时间 ;而且还可同时对不孕症患者进行诊治 。
Objective: To evaluate the clinical value of early diagnosis and acute operation of suspicious ectopic pregnancy (EP) by laparoscopy (LSC) in our hospital. Methods:Eighty-seven cases received the emergency LSC because of the suspicious EP within 24 hours after being admitted. Results:All patients were operated successfully without subsequent laparatomy and complications. Seventy-six cases were diagnosed definitely during operation (all pathologic proof), with diagnosis before operation coincidence rate 87.4%; other cases were 8 (9.2%) ovarian cyst,3( 3.4% ) intrauterine pregnancy complicated by rupture of the pregnant corpus luteum in order. Seventy ( 80.1% ) cases had salpingectomy, 6 (6.9%) cases had salpingectomy without closure. Others were 8 (9.2%) ovarian cystectomy and 3 ( 3.4% ) partial ovary excision. Of 12 patients with infertility, there were 10 cases who had pelvic adhesion,5 had tube or ovarian lesions and they received relevant treatment.Conclusions:The emergency LSC not only can early diagnose EP definitely to gain time for conservative operation, but also can diagnose and treat infertility to increase fecundity rate.
出处
《中国内镜杂志》
CSCD
2003年第6期4-5,共2页
China Journal of Endoscopy
关键词
异位妊娠
腹腔镜
早期诊断
急诊手术
Ectopic Pregnancy
Laparoscopy
Early Diagnosis
Acute Operation
