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目的探讨急诊状态下腹腔镜治疗异位妊娠的可行性、安全性及治疗效果。方法 37例患者均在入院2h内完成术前准备,在气管插管全身麻醉下采用改良的三孔法置入腹腔镜器械,行输卵管切除14例,宫角切除术3例,输卵管开窗术20例。结果所有手术均在腹腔镜下完成,平均手术时间62min,除4例出现切口脂肪液化,余无并发症出现。结论急诊腹腔镜治疗异位妊娠,可作为一种常规手术加以推广。
Objective To investigate the feasibility, safety and therapeutic effect of laparoscopic treatment of ectopic pregnancy in emergency. Methods Thirty-seven patients underwent preoperative preparation within 2h after admission. Laparoscopic instruments were implanted by modified three-hole method under general anesthesia with endotracheal intubation. There were 14 cases of tubal resection, 3 cases of hysterotomy, 20 cases. Results All the operations were performed under laparoscopy. The mean operation time was 62 minutes. Except for 4 cases, incision fat liquefaction occurred and no complications occurred. Conclusions Emergency laparoscopic treatment of ectopic pregnancy, can be used as a routine surgery to be promoted.