目的 探讨如何在宫外孕术前根据患者彩色超声检查结果,来正确评估术中是否应用自体血回输.方法 对192例宫外孕开腹手术患者根据术前彩色超声提示的盆腔积液深度予以分组后,比较盆腔出血量、术后1d复查血常规的贫血患者病例数.结果 192例患者中自体血回输88例,104例患者未采用自体血回输.术前彩色超声提示盆腔积液深度＞40mm的患者中,术中应用自体血回输可使术后出现贫血的例数明显减少(P<0.01);而术前彩色超声提示盆腔积液深度≤40mm的患者,术中是否应用自体血回输对于患者术后贫血无影响.结论 宫外孕患者手术前如彩色超声提示盆腔积液深度＞40 mm术中应该应用自体血回输,当盆腔积液深度≤40mm可不必应用.%Objective To discuss how to make a correct assessment preoperatively by color Doppler ultrasound examination to use autologous blood transfusion in the operation of ectopic pregnancy. Methods According to the fluid depth in pelvic cavity shown in preoperative examinations of color Doppler ultrasound, 192 cases with laparotomy for ectopic pregnancy were divided into different groups to compare the amount of blood hemorrhage in pelvic cavity,and one day after the operation, routine blood examination was carried out to count the number of patients with anemia. Results Autologous blood transfusion was applied in 88 cases and not used in 104 cases in the laparotomy for ectopic pregnancy. In the patients whose fluid depth of pelvic cavity shown in the preoperative color Doppler ultrasound examination was over 40 mm,the rate of patients with anemia after operation was significantly reduced with the use of autologous blood transfusion in operation (P<0. 01); in the patients whose fluid depth of pelvic cavity in the preoperative examination was ≤40 mm, the autologous blood transfusion in operation or not did not have any effect on the rate of cases with anemia after the operation. Conclusion The autologous blood transfusion should be used when the fluid depth of pelvic cavity shown in the preoperative color Doppler ultrasound is over 40 mm; when the depth is ≤40 mm, the transfusion is not necessary in the operation of ectopic pregnancy.
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