【摘要】 目的 评价可疑异位妊娠患者腹腔镜早期诊治的临床价值。方法 收集2003年1月～2005年12月收治的经腹腔镜手术治疗的可疑输卵管妊娠患者53例资料进行回顾性分析。结果 53例手术均经腹腔镜完成，无1例中转，术中诊断输卵管妊娠的46例(经病理证实)，术前诊断率86.8%，32例行输卵管切除术，7例行保守性手术。结论 腹腔镜手术是早期确诊可疑异位妊娠患者的最佳选择，也为保守性治理赢得时间，但不宜操之过急。

    【关键词】 异位妊娠；输卵管妊娠；腹腔镜手术；氨甲喋呤(MTX)

    Clinical analysis of early diagnosis and therapy of 53 suspicious tubal pregncy by laparoscopy

    XU Yi-qun.

    Department of Obstetrics and Gynecology,Nanhui District Central Hospital,Shanghai,201300

    【Abstract】 Objective To evaluate the clinical value of early diagnosis and therapy of suspicious ectopic pregnancy by laparoscopy.Methods The clinical data of 53 suspicious tubal pregnancy patients were analyzed retrospectively,who had received laparoscopic operation in our hospital from January 2003 to December 2005.Results All cases received laparoscopic operation,none was transferred to traditional surgery during the operation.46 cases were diagnosed as tubal pregnancy during the operation with pathologic proof.Preoperative diagnosis rate was 86.8%.The salpingecstomy were performed in the 32 cases.The salpingotomy were performed in the 7 cases.Conclusion The laparoscopic operation is the best choice in the early diagnosis and therapy of suspicious ectopic pregnancy,and it gain time for conservative therapy.But not too early. ......