Laparoscopic diagnosis and treatment of 126 cases of ectopic pregnancy.docVIP

 PAGE \* MERGEFORMAT 7 Laparoscopic diagnosis and treatment of 126 cases of ectopic pregnancy [Keywords:] ectopic pregnancy; laparoscopic Ectopic pregnancy is the most common gynecological acute abdomen, is not typical of clinical diagnosis of ectopic pregnancy is still misdiagnosed. As ultrasound technology continues to improve and blood - human chorionic gonadotropin (HCG) detection method, which made clear diagnosis of ectopic pregnancy ahead of time to avoid the large number of patients with intra-abdominal bleeding. With the promotion of gynecologic minimally invasive technique, laparoscopic surgery has been widely used in clinical. now to our hospital in January 2006 -2009 l2 months Diagnosis and treatment of ectopic pregnancy laparoscopic surgery clinical results of 126 cases analyzed, the report is as follows. 1 Materials and Methods 1.1 General Information The group of 126 patients, aged from 15 to 44 years, mean 31.5 years; past history of pelvic surgery in 41 cases; have a history of ectopic pregnancy in 9 cases, including 3 cases of tubal fenestration Embryo, 2 cases conservative treatment for drug, The other 4 were ipsilateral salpingectomy; 102 patients with previous history of abortion; the 84 patients required re-birth; a clear history of 95 cases of menopause; 102 cases of vaginal bleeding; 89 patients with varying degrees of abdominal pain. all patients before blood test - chorionic promoting gonadotropin (HCG) levels were increased in different degrees [gt; (15000 + -426) mIU / ml]; ultrasound prompted no intrauterine gestational sac, annex area has mass and (or) a pelvic fluid. 1.2 Methods Surgery under general anesthesia, take the first puncture on umbilical point, the establishment of artificial pneumoperitoneum, the intra-abdominal pressure of 11 ~ 13mmHg, left in the umbilical, left anterior superior iliac spine to the abdomen outside the line of 1 / 3 for the two to three puncture points, respectively, and the place