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目的:探讨电视腹腔镜在输卵管妊娠诊治中的价值。方法:对53例输卵管妊娠患者分别施行镜下输卵管切除的根治性手术及输卵管开窗清除绒毛或病灶注药杀胚的保守性手术,将它们与同期剖腹手术及全身用药杀胚的各30例异位妊娠病例作比较分析。结果:电视腹腔镜对异位妊娠的诊断符合率达100%,手术成功率94.34%,无术时术后并发症。镜下手术较开腹手术明显损伤小,恢复快,术后病率低,镜下保守治疗较全身用药保守治疗副反应轻,血HCG转阴性快。结论:电视腹腔镜诊治异位妊娠有及时、精确、易行,融诊断与治疗于一体的优点。
Objective: To investigate the value of laparoscopy in the diagnosis and treatment of tubal pregnancy. Methods: 53 cases of tubal pregnancy patients underwent microscopic tubal resection of the radical surgery and tubal removal of villi or lesion injection of drugs to kill embryos conservative surgery, and their laparotomy and systemic laparotomy in the same period of 30 cases Ectopic pregnancy cases for comparative analysis. Results: Laparoscopic diagnosis of ectopic pregnancy consistent rate of 100%, the success rate of 94.34%, no postoperative complications. Microsurgery surgery was more effective than laparotomy injury, rapid recovery, postoperative morbidity, conservative treatment of systemic conservative treatment of systemic side effects of light, blood HCG negative fast. Conclusion: The laparoscopic diagnosis and treatment of ectopic pregnancy with timely, accurate, easy, financial diagnosis and treatment in one of the advantages.