论文部分内容阅读
目的:评估对疑似异位妊娠(EP)患者腹腔镜(LSC)早期诊断和急诊手术的临床价值。方法:回顾分析我院136例经LSC手术治疗的疑似EP患者情况。结果:136例均行LSC手术,2例中转开腹,均无并发症发生。术中诊断EP 127例(均经病理证实),与术前诊断符合率为93.38%;其余病例均行相应处理。7例少见异位妊娠1,1例休克型EP,均成功手术。结论:急诊LSC手术不仅可早期诊治疑似EP患者,还可同时对不孕症患者进行诊治。对于休克型及少见异位妊娠行急诊LSC手术亦是安全可行的。
Objective: To evaluate the clinical value of early diagnosis and emergency surgery in laparoscopic (LSC) patients with suspected ectopic pregnancy (EP). Methods: A retrospective analysis of our hospital 136 cases of LSC surgery suspected EP patients. Results: All 136 patients underwent LSC surgery and 2 patients underwent laparotomy without complication. Intraoperative diagnosis of EP 127 cases (both pathologically confirmed), and preoperative diagnosis consistent rate was 93.38%; the rest of the cases were treated accordingly. Seven cases of rare ectopic pregnancy and 1 case of shock EP, were successful surgery. Conclusion: Emergency LSC surgery not only early diagnosis and treatment of suspected EP patients, but also diagnosis and treatment of infertility patients. For shock and rare ectopic pregnancy emergency LSC surgery is safe and feasible.