Langebrekke A, Kirschner R, Skår O J, Sørnes T, Urnes A
Department of Gynecology and Obstetrics, Central Hospital of Akershus, Nordbyhagen, Norway.
Acta Obstet Gynecol Scand. 1991;70(4-5):331-4. doi: 10.3109/00016349109007882.
We present 150 consecutive cases of tubal pregnancy treated by laparoscopic techniques. A three-puncture technique was used. 74 cases were treated conservatively by linear salpingotomy with carbon dioxide laser laparoscopy and 76 cases were treated nonconservatively through the laparoscope by salpingectomy or tubal resection. Contra-indications to laparoscopic surgery were haemodynamically unstable patient and interstitial pregnancy. Seventy-five per cent of all tubal pregnancies were treated by laparoscopy in the period studied. No complications were encountered during the laparoscopic operations. Two patients needed a second laparoscopy, while 2 others underwent a subsequent laparotomy. This study has shown that tubal ectopic pregnancies can in most cases be effectively managed by laparoscopic techniques.
我们呈现了150例连续采用腹腔镜技术治疗的输卵管妊娠病例。采用了三穿刺技术。74例通过二氧化碳激光腹腔镜下线性输卵管切开术进行保守治疗，76例通过腹腔镜进行输卵管切除术或输卵管切除进行非保守治疗。腹腔镜手术的禁忌证为血流动力学不稳定的患者和间质部妊娠。在所研究的时期内，75%的输卵管妊娠通过腹腔镜进行治疗。腹腔镜手术期间未出现并发症。2例患者需要二次腹腔镜检查，另有2例随后接受了剖腹手术。本研究表明，大多数情况下，输卵管异位妊娠可通过腹腔镜技术得到有效处理。
