Rempen A
Universitäts-Frauenklinik Würzburg.
Geburtshilfe Frauenheilkd. 1995 Jul;55(7):357-64. doi: 10.1055/s-2007-1022801.
Top evaluate laparoscopic surgery in extrauterine pregnancy, the period from 1990-1993 was analysed, and the first 44 operations including only one laparoscopy (2%), were compared with the following 70 operations with 60 laparoscopic procedures (86%). Except for a younger mean gestational age in the second interval, both groups showed no differences in the history and preoperative findings. During the second period, however, the intraoperative blood loss was smaller and the rate of conservative procedures was higher. Operation times and complication rates were not different. But in laparoscopy, duration of the procedure significantly decreased with advancing experience. Postoperative hospital stay was half as long in the second group. Subsequent procedures were necessary in 3% of 61 laparoscopies due to adhesion ileus and persistent trophoblast, respectively. Persistent pregnancy was seen in 2% of 42 conservative laparoscopies. Laparotomy due to failed laparoscopy was done in 2 of 63 patients (3%) with bleeding complications. Laparoscopy in the hand of the experienced surgeon is a suitable method to treat ectopic pregnancy and allows also organ preservation.
为评估腹腔镜手术治疗宫外孕的效果，对1990年至1993年期间进行了分析。将最初的44例手术（其中仅1例为腹腔镜手术，占2%）与随后的70例手术（其中60例为腹腔镜手术，占86%）进行了比较。除了第二个时间段的平均孕周较小外，两组在病史和术前检查结果方面均无差异。然而，在第二个时期，术中失血量较少，保守手术的比例较高。手术时间和并发症发生率没有差异。但在腹腔镜手术中，随着经验的增加，手术时间显著缩短。第二组的术后住院时间减半。在61例腹腔镜手术中，分别有3%的患者因粘连性肠梗阻和持续性滋养细胞需要进行后续手术。在42例保守性腹腔镜手术中，有2%的患者出现持续性妊娠。63例患者中有2例（3%）因腹腔镜手术失败且出现出血并发症而进行了剖腹手术。在经验丰富的外科医生手中，腹腔镜手术是治疗宫外孕的一种合适方法，并且还能保留器官。
