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目的探讨电视腹腔镜手术治疗异位妊娠的临床价值。方法对2005年5月~2006年10月腹腔镜手术治疗的45例异位妊娠的临床资料进行分析。结果45例患者手术全部在腹腔镜下进行,无中转开腹,根据腹腔内出血量分两组:Ⅰ组<500ml,Ⅱ组>500ml,经比较两组患者手术时间、住院时间,差异无显著性(P>0.05)。结论腹腔镜手术是治疗异位妊娠的一种理想的手术方式,异位妊娠失血性休克不是腹腔镜手术的绝对禁忌证。
Objective To investigate the clinical value of television laparoscopic surgery for ectopic pregnancy. Methods Clinical data of 45 cases of ectopic pregnancy treated by laparoscopic surgery from May 2005 to October 2006 were analyzed. Results All the 45 patients underwent laparoscopic surgery without laparotomy. According to the intra-abdominal hemorrhage, there were two groups: Ⅰ group <500ml, Ⅱ group> 500ml. There was no significant difference in the operation time and hospitalization time between the two groups (P> 0.05). Conclusion Laparoscopic surgery is an ideal surgical treatment of ectopic pregnancy, hemorrhagic shock in ectopic pregnancy is not an absolute contraindication for laparoscopic surgery.