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目的:评估腹腔镜手术在陈旧性宫外孕(Old ectopic pregnancy,OEP)诊断和治疗中的价值,探讨对OEP患者实施腹腔镜手术的手术技巧。方法:回顾性分析2009～2011年在我院接受腹腔镜手术治疗的21例OEP患者的临床资料。结果:21例患者中11例为输卵管妊娠流产,9例为输卵管妊娠破裂,1例为宫角妊娠,部分患者同时行盆腔粘连松解术和(或)对侧输卵管结扎术。所有手术均经腹腔镜顺利完成,无中转开腹,无术中重大并发症发生。结论:腹腔镜手术不仅可早期确诊OEP患者,而且可同时进行有效治疗,是明确诊治陈旧性宫外孕的一种理想手术方式。
Objective: To assess the value of laparoscopic surgery in the diagnosis and treatment of old ectopic pregnancy (OEP), and to explore the surgical techniques of laparoscopic surgery for OEP patients. Methods: The clinical data of 21 OEP patients undergoing laparoscopic surgery in our hospital from 2009 to 2011 were analyzed retrospectively. Results: Of the 21 patients, 11 were tubal abortion, 9 were ruptured tubal pregnancy, and 1 was cornual pregnancy. Some patients underwent concurrent pelvic adhesiolysis and / or contralateral tubal ligation. All operations were successfully completed by laparoscopy, no transit laparotomy, no major complications occurred. Conclusion: Laparoscopic surgery can not only diagnose OEP patients early, but also can be effectively treated at the same time. It is an ideal surgical method to diagnose and treat outdated ectopic pregnancy.