异位妊娠腹腔镜诊治192例分析

目的 探讨腹腔镜下异位妊娠诊治临床意义，手术病例的选择及手术注意事项.方法 对2003年8月至2006年4月我院收治的异位妊娠腹腔镜诊治192例患者的临床资料进行回顾性分析，全部病例均经手术和病理确诊.结果 186例腹腔镜下完成手术，6例中转开腹，术中诊断陈旧性宫外孕6例，术中出血量平均20 mL.术后发生持续性宫外孕4例，3例保守治疗成功，1例改开腹手术切除患侧输卵管，平均住院时间4.5 d.结论 腹腔镜手术微创、及时、准确、安全、易行．对患者损伤小，术后恢复快，成为临床诊治异位妊娠的主流，但注意病例的选择并尽量避免持续性异位妊娠的发生.

Analysis of 192 Patients of Ectopic Pregnancy Diagnosed and Treated by Laparoscopy

Objective To explore the value of laparoscopy in the management of ectopic pregnancy.Methods 192 patients diagnosed and treated by laparoscopy are reviewed in our hospital from Aug.2003 to Apr.2006 because of ectopic pregnancy.Results 186 cases underwent laparoscopic operation successfully,6 cases by intraabdominal operation,the operation bleeding volume was 20ml,hospital stay volume was 4.5 days.4 cases were caused persistent ectopic pregnancy(PEP),3 cases were well by MTX,1 case was done intraabdominal operation.Conclusions Laparoscopic operation provides a safe and efficient minimally invasive method for ectopic pregnancy.However,the choic of indication and persistent ectopic pregnancy(PEP) deserve attention.