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目的探讨腹腔镜诊治极早期异位妊娠的临床应用价值。方法回顾性分析2009年3月至2012年3月嘉峪关市第二人民医院门诊收治的拟诊异位妊娠50例(未破裂型)患者实施腹腔镜诊断手术,判断术前术后诊断的符合率。结果经腹腔镜检查明确早期非破裂输卵管妊娠47例,明确诊断率94%(47/50),其中24例为流产型,23例为未破裂型,术中不能明确诊断3例,术后经观察明确为异位妊娠,予MTX治愈。结论腹腔镜用于极早期的异位妊娠的诊治是很好的选择,但宜选择合适的手术时机。
Objective To investigate the clinical value of laparoscopic diagnosis and treatment of very early ectopic pregnancy. Methods Retrospective analysis of 50 cases (unruptured type) of suspected ectopic pregnancy admitted to the Second People’s Hospital of Jiayuguan City from March 2009 to March 2012 was performed laparoscopic surgery to determine the coincidence rate of preoperative and postoperative diagnosis . Results Laparoscopy confirmed the early non-ruptured tubal pregnancy in 47 cases, a clear diagnosis rate of 94% (47/50), of which 24 cases of abortion, 23 cases of unruptured type, intraoperative can not be clearly diagnosed in 3 cases, postoperative Observe clearly for ectopic pregnancy, to MTX cure. Conclusion Laparoscopy for the diagnosis and treatment of very early ectopic pregnancy is a good choice, but should choose the appropriate timing of surgery.