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目的:分析评价腹腔镜手术治疗异位妊娠的临床效果。方法:回顾分析227例异位妊娠行腹腔镜手术治疗患者的临床资料。结果:227例腹腔镜手术中,214例患输卵管妊娠其中94例行患侧输卵管妊娠切除术,120例行患侧输卵管保守性手术治疗,后者4例发生持续性异位妊娠;7例间质部及宫角部妊娠行宫角切除中,2例发生持续性异位妊娠;4例卵巢妊娠行卵巢部分切除术;2例(未婚)术中未探及异常,1例术后确诊为宫内孕行人工流产,1例术后失去监控发生输卵管妊娠破裂,失血性休克2次入院手术切除输卵管。结论:腹腔镜是治疗异位妊娠的首选方法,但术后应复查血β-HCG至正常,以便诊断治疗持续性异位妊娠,预防严重并发症发生。
Objective: To analyze and evaluate the clinical effect of laparoscopic surgery for ectopic pregnancy. Methods: A retrospective analysis of 227 cases of ectopic pregnancy underwent laparoscopic surgery in patients with clinical data. Results: Of the 227 cases of laparoscopic surgery, 214 cases of tubal pregnancy, 94 cases of tubal pregnancy resection, 120 cases of tubal conservative surgery, the latter 4 cases of persistent ectopic pregnancy; 7 cases Two cases of persistent ectopic pregnancy occurred in 2 cases of genital and uterine horns during pregnancy, 4 cases of ovarian partial ovariectomy, 2 cases of unmarried surgery were not detected and abnormal, 1 case was diagnosed as postoperative palace Intrauterine abortion abortion, a case of tubal pregnancy rupture after the loss of monitoring, hemorrhagic shock 2 surgical resection of the fallopian tube. Conclusion: Laparoscopy is the preferred method of treatment of ectopic pregnancy, but should be reviewed after the blood β-HCG to normal, so that the diagnosis and treatment of persistent ectopic pregnancy, prevention of serious complications.