腹腔镜在异位妊娠中的诊断和治疗价值

本文分析1982～1987年间收治的544例异位妊娠,其中270例行腹腔镜检查、274例未作腹腔镜检查。两组资料相比提示:腹腔镜检查组诊断符合率高达97.40％;由于能及早明确诊断,故该组腹腔内出血量比未作腹腔镜检查组少,平均为241m1/372ml(P<0.05),需输血例数明显减少30例(11.11％)/134例(48.90％)(P<0.01),输卵管未破裂者增高222例(82.22％)/194例(70.80％)(P<0.01)。270例无术后并发症发生。上述给年轻不孕患者作非手术治疗或输卵管保守手术以保留生育功能提供良好条件。

LAPAROSCOPY IN THE DETECTION AND TREATMENT OF ECTOPIC PREGNANCY

544 cases of ectopic pregnancy confirmed by operations and histopathological examinations were seen between 1982 and 1986 in our hospital.270 cases underwent laparoscopy and 274 did not. Eesults showed that: Use of the laparoscope for diagnosis of early ectopic pregnancy reached 97.4% accuracy. 82.2% of the cases were diagnosed before the tubal pregnancy ruptured. This would facilitate conservative surgery in young women.Intraperitoneal haemorrhage was significantly decreased. A mean volume of 241 ml in the laparoscoped group aa compared to 372 ml in the nonlaparoscoped group (P<0.05), the need for blood transfusion was 34 in comparison to 134 in nonlaparoscoped cases(P<0.01).No postoperative complication or morbidity occurred in the 270 laparoscoped patients.