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本文分析1982~1987年间收治的544例异位妊娠,其中270例行腹腔镜检查、274例未作腹腔镜检查。两组资料相比提示:腹腔镜检查组诊断符合率高达97.40%;由于能及早明确诊断,故该组腹腔内出血量比未作腹腔镜检查组少,平均为241m1/372ml(P<0.05),需输血例数明显减少30例(11.11%)/134例(48.90%)(P<0.01),输卵管未破裂者增高222例(82.22%)/194例(70.80%)(P<0.01)。270例无术后并发症发生。上述给年轻不孕患者作非手术治疗或输卵管保守手术以保留生育功能提供良好条件。
This article analyzes 544 cases of ectopic pregnancy treated between 1982 and 1987, of which 270 cases of laparoscopy, 274 cases without laparoscopy. Compared with the two data, the coincidence rate of laparoscopy group was as high as 97.40%. Due to the definite diagnosis as soon as possible, the intra-abdominal blood loss of this group was less than that of the group without laparoscopy (average 241m1 / 372ml, P <0.05) Blood transfusion was significantly reduced in 30 cases (11.11%) / 134 cases (48.90%) (P <0.01), tubal unruptured patients increased in 222 cases (82.22%) / 194 cases (70.80%) (P <0.01). 270 cases without postoperative complications. The above for infertility patients with non-surgical or tubal conservative surgery to retain the reproductive function to provide good conditions.