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目的探讨导致腹腔镜治疗异位妊娠中转开放手术的原因。方法回顾性地分析腹腔镜治疗的异位妊娠232例患者的临床资料,对相关的因素进行统计学分析。结果中转开放手术25例。腹腔镜经验较少的医师腹腔镜手术中转开放的概率显著增加,在中转开放组中,盆腔炎病史、术前B超示大量腹腔积液以及输卵管破裂的比例显著高于腹腔镜组(分别为24%和8.7%,24%和7.42%,68%和42.51%)。两组间肥胖和异位妊娠包块的大小等因素比较差异无统计学意义。结论术者腹腔镜经验少、既往盆腔炎病史、超声示腹腔大量积液、输卵管破裂使腹腔镜治疗异位妊娠中转开放的可能性显著增加。
Objective To explore the causes of laparoscopic treatment of ectopic pregnancy in the open surgery. Methods The clinical data of 232 cases of ectopic pregnancy treated with laparoscopy were analyzed retrospectively. The related factors were analyzed statistically. The results of transit open surgery in 25 cases. Laparoscopic experience with fewer doctors relapse laparoscopic surgery significantly increased the probability of open transfer group, the history of pelvic inflammatory disease, preoperative B ultrasound showed a large number of ascites and tubal rupture was significantly higher than the proportion of (respectively 24% and 8.7%, 24% and 7.42%, 68% and 42.51%). There was no significant difference in the size of obesity and ectopic pregnancy between the two groups. Conclusion Laparoscopic surgery experience less history of previous pelvic inflammatory disease, ultrasound showed a lot of fluid in the abdominal cavity, tubal rupture so that the possibility of laparoscopic treatment of ectopic pregnancy transit open significantly increased.