腹腔镜在输卵管间质部妊娠早期诊断及治疗中的应用
腹腔镜；妊娠,异位；输卵管间质部妊娠,,腹腔镜；妊娠，异位；输卵管间质部妊娠,1资料与方法,2结果,3讨论,参考文献：
【摘要】 目的：探讨腹腔镜在输卵管间质部妊娠早期诊断及治疗的临床价值。方法：回顾性分析2003年1月~2006年7月应用腹腔镜诊治输卵管间质部妊娠16例的临床资料。结果：16例B超及血βHCG均异常，拟诊为输卵管间质部妊娠，经腹腔镜检查均得以确诊。16例均在腹腔镜下采用电凝切除患侧输卵管，无术中及术后并发症，临床治愈率100%。与剖腹组比较，无持续性宫外孕发生，且出血少、手术时间短、术后住院时间短。结论：输卵管间质部妊娠腹腔镜手术时可以在确诊的同时给予治疗，手术创伤小，疗效满意，优于开腹手术。【关键词】 腹腔镜；妊娠，异位；输卵管间质部妊娠
Application of laparoscope in early diagnosis and treatment of interstitial tubal pregnancy
WANG Haibo,ZHOU Ailin,YAN Xihong,et al.
260 Hospital of People's Liberation Army,Shijiazhuang 050041,China
【Abstract】 Objective:To investgate clinical value of laparoscope in early diagnosis and treatment of interstitial tubal pregnancy.Methods:16 interstitial tubal pregnancies diagnosed and treated by laparoscope from January 2003 to July 2006 were retrospectively analyzed.Results:16 interstitial tubal pregnancies diagnosed initially by B ultrasound and blood βHCG were diagnosed definitly by laparoscope.All patients were treated by oviductus resection without intraoperative and postoperative complications,clinical healing rate was 100%.Compared with open operation,blood loss was decreased sharply,operative time and postoperative hospital time were both shortened,there was no continuity ectopic pregnancy in laparoscope group.Conclusions:Laparoscope diagnoses and treats interstitial tubal pregnancy very well.Surgical trauma of laparoscope is little,laparoscope therapeutic effect is satisfactory,laparoscopic operation is better than open operation in treating interstitial tubal pregnancy. ......
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