中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2013年
24期
13-14
,共2页
异位妊娠%腹腔镜%妇产科手术史
異位妊娠%腹腔鏡%婦產科手術史
이위임신%복강경%부산과수술사
Ectopic pregnancy%Laparoscope%Gynecology and obstetrics operation history
目的：探讨有妇产科手术史的异位妊娠患者行腹腔镜治疗的可行性和适应证。方法：以100例有妇产科手术史的异位妊娠患者为研究对象，其中62例患者有1次妇产科手术史，38例患者有2次妇产科手术史，所有患者均行腹腔镜治疗。观察患者的手术效果、盆腹腔粘连情况、中转开腹、术中出血、手术时间及术后并发症。结果：腹腔镜成功率为88%，中转开腹率为12%。一次手术史患者粘连率、中转开腹率明显低于二次手术史患者（P<0.05），术中出血量、手术时间明显少于二次手术患者（P<0.05），一次手术史患者术后并发症的发生率明显低于二次手术史患者（P<0.05）。结论：妇产科手术后再次腹腔镜治疗异位妊娠的手术成功率较高，是一种理想的手术方式。同时，患者妇产科手术史次数与盆腹腔粘连程度、中转开腹率、术中出血量、手术时间及并发症发生率呈正相关。多次妇产科手术史会增加腹腔镜手术难度，行腹腔镜手术时应慎重。
目的：探討有婦產科手術史的異位妊娠患者行腹腔鏡治療的可行性和適應證。方法：以100例有婦產科手術史的異位妊娠患者為研究對象，其中62例患者有1次婦產科手術史，38例患者有2次婦產科手術史，所有患者均行腹腔鏡治療。觀察患者的手術效果、盆腹腔粘連情況、中轉開腹、術中齣血、手術時間及術後併髮癥。結果：腹腔鏡成功率為88%，中轉開腹率為12%。一次手術史患者粘連率、中轉開腹率明顯低于二次手術史患者（P<0.05），術中齣血量、手術時間明顯少于二次手術患者（P<0.05），一次手術史患者術後併髮癥的髮生率明顯低于二次手術史患者（P<0.05）。結論：婦產科手術後再次腹腔鏡治療異位妊娠的手術成功率較高，是一種理想的手術方式。同時，患者婦產科手術史次數與盆腹腔粘連程度、中轉開腹率、術中齣血量、手術時間及併髮癥髮生率呈正相關。多次婦產科手術史會增加腹腔鏡手術難度，行腹腔鏡手術時應慎重。
목적：탐토유부산과수술사적이위임신환자행복강경치료적가행성화괄응증。방법：이100례유부산과수술사적이위임신환자위연구대상，기중62례환자유1차부산과수술사，38례환자유2차부산과수술사，소유환자균행복강경치료。관찰환자적수술효과、분복강점련정황、중전개복、술중출혈、수술시간급술후병발증。결과：복강경성공솔위88%，중전개복솔위12%。일차수술사환자점련솔、중전개복솔명현저우이차수술사환자（P<0.05），술중출혈량、수술시간명현소우이차수술환자（P<0.05），일차수술사환자술후병발증적발생솔명현저우이차수술사환자（P<0.05）。결론：부산과수술후재차복강경치료이위임신적수술성공솔교고，시일충이상적수술방식。동시，환자부산과수술사차수여분복강점련정도、중전개복솔、술중출혈량、수술시간급병발증발생솔정정상관。다차부산과수술사회증가복강경수술난도，행복강경수술시응신중。
Objective:To investigate the department of obstetrics and gynecology operation history of ectopic pregnancy treated by laparoscopy in the treatment of the feasibility and indications. Method:100 patients,ectopic pregnancy with obstetrics and gynecology operation history,were selected as the research object,in which 62 cases had 1 obstetrics and gynecology operation history,38 patients had 2 obstetrics and gynecology operation history,all the patients were treated by laparoscopy. To observe the effect of operation,patients with peritoneal adhesion,conversion to open surgery,intraoperative bleeding,operation time and postoperative complications Result:The success rate of laparoscopy was 88%,the conversion rate was 12%. The conversion rate was significantly lower than the two times of operation in patients with a history of operation in patients with a history of the adhesion rate,intraoperative bleeding volume,operation time was less than two operation patients(P<0.05). An operation in patients with a history of postoperative complication rate was significantly lower in patients with a history of two operation(P<0.05). Conclusion:The laparoscopic treatment of ectopic pregnancy,obstetrics and gynecology operation after the operation success rate is high,and is an ideal operation method. At the same time,the number of patients in gynecology and obstetrics operation history and abdominal and pelvic adhesion degree,conversion to open surgery,intraoperative bleeding volume,operation time and complication rate is positively correlated with. Many obstetrics and gynecology operation history will increase the difficulty of laparoscopic operation, should be careful when laparoscopic operation.
