腹腔镜诊治特殊部位异位妊娠31例临床分析

目的评估特殊部位异位妊娠经腹腔镜早期诊断和手术治疗的临床价值。方法回顾性分析2002年7月-2004年12月经腹腔镜手术治疗的异住妊娠388例，其中特殊部位异位妊娠31例的临床资料，包括输卵管间质部妊娠11例，子宫残角妊娠4例，卵巢妊娠3例，腹腔妊娠2例，宫角妊娠10例，子宫肌壁妊娠1例。结果31例特殊部位异位妊娠中除2例中转开腹外，其余均经腹腔镜手术完成，成功率93．5％。对输卵管间质部和宫角妊娠，其中12例试行保守手术而保留生育功能。结论腹腔镜早期诊治特殊部位异位妊娠成为可能。

Clinical analysis of diagnosis and therapy of 31 cases with rare ectopic pregnancy by laparoscopy

Objective] To evaluate the clinical value of early diagnosis and therapy of rare ectopic pregnancy by laparoscopy. Methods] The clinical data of 31 rare ectopic pregnancy patients among 388 ectopic pregnancy who had received laparoscopic operation in our hospital during July 2002 to December 2004 were reviewed, including 11 interstitial pregnancy, 4 deformity uterogestation, 3 ovarian pregnancy, 2 abdominal pregnancy, 10 comual nterogestation and 1 intramural pregnancy. Results] The operation was performed on 29 cases of rare ectopic pregnancy by laparoscopy, and only 2 cases were transferred to traditional surgery during the operation, the success rate being 93.5%. 12 cases of interstitial pregnancy and deformity uterogestation try conservative operation treat save function of fallopian tube. Conclusions] It is possible that rare ectopic pregnancy has early been diagnosised and treated by laparoscopy.