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目的:探讨腹腔镜结合阴道超声诊治子宫外异位妊娠的价值。方法:回顾性分析2006～2010年吉林大学第一医院妇产科腹腔镜手术治疗子宫外异位妊娠116例患者的临床资料。结果 :116例患者均诊断明确,行输卵管切除术108例,保留输卵手术管3例,卵巢部分切除及修补术4例,膀胱壁病灶切除1例。平均手术时间为56.97 min,术后平均住院日3.99天,无并发症及持续性异位妊娠发生。结论:腹腔镜结合阴道超声诊治子宫外异位妊娠准确、可靠,有利于早期异位妊娠的诊断。
Objective: To investigate the value of laparoscopy combined with vaginal ultrasound in the diagnosis and treatment of ectopic pregnancy. Methods: The clinical data of 116 patients with ectopic pregnancy underwent laparoscopic treatment of obstetrics and gynecology at the First Hospital of Jilin University from 2006 to 2010 were retrospectively analyzed. Results: All the 116 patients were diagnosed well. There were 108 cases of tubal resection, 3 cases of oophorectomy, 4 cases of ovarian partial resection and repair, and 1 case of bladder wall lesion. The average operation time was 56.97 min and the average postoperative hospital stay was 3.99 days without complication and persistent ectopic pregnancy. Conclusion: Laparoscopy combined with vaginal ultrasound in the diagnosis of ectopic pregnancy is accurate and reliable, which is good for the diagnosis of early ectopic pregnancy.