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目的 :评估我院可疑异位妊娠 (Ectopicpregnancy,EP)患者腹腔镜 (Laparoscopy ,LSC)早期诊断和急诊手术的临床价值。方法 :87例可疑EP患者均在入院 2 4h内接受急诊LSC手术。结果 :所有病例手术顺利 ,无中转开腹和并发症发生。术中诊断EP患者 76例 (均病理证实 ) ,术前诊断符合率 87.4% ;其余病例依次为卵巢囊肿 8例 (9.2 % )、宫内妊娠黄体破裂 3例 (3 .4% )。施行输卵管切除术 70例 (80 .1 % )、输卵管开窗术 6例(6 .9% ) ,卵巢囊肿剥除术 8例 (9.2 % ) ,卵巢部分切除术 3例 (3 .4% )。 1 2例合并不孕症患者发现 ;1 0例盆腔粘连、5例输卵管卵巢病变 ,均行相应处理。结论 :急诊LSC技术不仅可早期确诊可疑EP患者 ,为保守性治疗赢得时间 ;而且还可同时对不孕症患者进行诊治 ,提高受孕率
Objective: To evaluate the clinical value of early diagnosis and emergency surgery of Laparoscopy (LSC) in patients with suspected ectopic pregnancy (EP). Methods: All 87 patients with suspicious EP were admitted to emergency LSC within 24 hours after admission. Results: All cases were successfully operated without conversion to open surgery and complications. There were 76 cases of EP diagnosed intraoperatively (all confirmed by pathology). The coincidence rate of preoperative diagnosis was 87.4%. The other cases were ovarian cyst in 8 cases (9.2%) and intrauterine pregnancy rupture in 3 cases (3.4%). There were 70 cases (80.1%) who underwent tubal resection, 6 cases (6.9%) of tubal fenestration, 8 cases of ovarian cyst excision (9.2%), 3 cases of partial ovariectomy (3.4%), . 12 patients with infertility were found; 10 cases of pelvic adhesions, 5 cases of tubal ovarian lesions, were treated accordingly. Conclusion: LSC can not only diagnose suspicious EP patients early but win the time for conservative treatment, but also diagnose infertility patients and improve the pregnancy rate