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腹腔镜手术与剖腹手术治疗异位妊娠的对比

Operative laparoscopy versus laparotomy for the management of ectopic pregnancy.

作者信息

Zhu L, Wong F, Bai J

机构信息

Department of O/G Liverpool Hospital, University of New South Wales, Australia.

出版信息

Chin Med J (Engl). 2000 Sep;113(9):810-2.

Abstract

OBJECTIVE

To compare the surgical managements for ectopic pregnancy.

METHODS

In a retrospective analysis, we examined the trend of surgical procedures and the results of different management in 149 patients.

RESULTS

The change from laparotomy to laparoscopic treatment was significant. The success rates of salpingostomy and salpingectomy under laparoscopy or laparotomy were 100%. No serious complications occurred. The operation time and length of hospital stay for laparoscopic salpingostomy were shorter than those for laparotomy with salpingostomy.

CONCLUSION

Laparoscopic salpingostomy and laparoscopic salpingectomy are better than laparotomy in the treatment of ectopic pregnancy.

摘要

目的

比较异位妊娠的手术治疗方法。

方法

在一项回顾性分析中,我们研究了149例患者的手术方式趋势及不同治疗方法的结果。

结果

从剖腹手术到腹腔镜治疗的转变显著。腹腔镜或剖腹手术下行输卵管造口术和输卵管切除术的成功率均为100%。未发生严重并发症。腹腔镜输卵管造口术的手术时间和住院时间均短于剖腹输卵管造口术。

结论

在异位妊娠治疗中,腹腔镜输卵管造口术和腹腔镜输卵管切除术优于剖腹手术。

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