腹腔镜诊治特殊部位异位妊娠的临床意义

目的：探讨腹腔镜手术治疗特殊部位异位妊娠的指征、可行性及安全性。方法：回顾分析2002年1月至2006年12月经腹腔镜手术治疗特殊部位异位妊娠的临床资料,其中输卵管间质部妊娠6例,卵巢妊娠4例,腹腔妊娠2例,输卵管残端妊娠1例。结果：腹腔妊娠因止血困难,手术出血多,手术时间长;输卵管残端妊娠只需单纯套扎盲端,出血少,手术时间短。腹腔镜手术治疗特殊部位异位妊娠平均手术时间为（93.35±48.24）min,术中平均出血量（41.43±5.05）ml,腹腔镜手术成功率92.3%。结论：腹腔镜手术治疗特殊部位异位妊娠是最佳方法,创伤小,安全可行。

Clinical significance of diagnosis and therapy on rare ectopic pregnancy by laparoscopy

Objective:To summarize the clinical characteristics of patients with rare ectopic pregnancy,investigate feasibilify and safety of laparoscopic surgery.Methods:From Jan. 2002 to Dec. 2006 in thirteen patients with rare ectopic pregnancy,including 6 interstitial pregnancy,4 ovariocyesis,2 abdominal pregnancy and 1 remnant salpingocyesis underwent laparoscopic operation.The clinical data of these patients was analyzed retrospectively.Results:Because of the difficulty of hemostasis and more blood loss,the operation time was longest in abdominal pregnancy.The operative time for ramnant salpingocyesis was shortest because only ligating the ramnat uterine tube and little blood loss.The mean operation time of laparoscopic surgery theropy on rare ectopic pregnancy was (93.35±48.24)min,the mean blood loss during operation was (41.43±5.05)ml,the success rate of laparoscopic surgery was 92.3%. Conclusions: Laparoscopic operation is the best way for rare ectopic pregnancy.