目的：对异位妊娠病患中曾有过妇产科手术史者行腹腔镜治疗这一活动的适应证、可行性加以研究。方法以2012年1月—2014年12该院收治的异位妊娠病患中有妇产科手术史者共计100例作为该研究的对象，在其中，有妇产科手术史1次的病患共计62例，有妇产科手术史2次的病患共计38例(也将之作为“一次手术史组”和“二次手术史组”的分组标准)，所有病患都先后行腹腔镜治疗。对病患的术后并发症、手术效果、手术时间、盆腹腔粘连情况、术中出血、中转开腹等情况加以相应的观察。结果中转开腹率和腹腔镜成功率分别占比12%和88%。在术后，一次手术史病患发生输尿管损伤并发情况者共计1例(占比1.61%)，二次手术史病患发生肠管损伤并发情况者共计2例(占比3.23%)、发生输尿管损伤并发情况者共计2例(占比3.23%)。由此可见：一次手术史病患所发生术后并发症这一起概况的占比和二次手术史病患相比要低，差异有统计学意义(P<0.05)。结论行妇产科手术后在开展腹腔镜方式对异位妊娠加以治疗有着较高的手术成功率，其显得颇为理想。在此方面，病患在妇产科手术史次数层面和并发症发生率、盆腹腔粘连程度、手术时间、术中出血量、中转开腹率等方面呈正相关关系。而腹腔镜手术难度往往会因为多次妇产科手术史而上升，有必要慎重行腹腔镜手术。%Objective To study the indications and feasibility of laparoscopic treatment for patients with ectopic preg-nancy. Methods From January 2012 to December 2014 this for a time period in this hospital for ectopic pregnancy pa-tients in the Department of Obstetrics and gynecology operation history were a total of 100 cases as the object of this study, in which, obstetrics and gynecology operation history of patients a total of 62 cases, obstetrics and gynecology operation history, 2 times of disease suffer from a total of 38 cases (also as "a history of operation group" and "sec-ondary surgery group criteria for grouping), all patients successively, laparoscopic treatment. The postoperative compli-cations, operation effect, operation time, pelvic cavity adhesion, intraoperative bleeding and conversion to open surgery were observed. Results Conversion laparotomy rate and laparoscopic success rate were 12% and 88%, respectively. Af-ter operation, an operation history of disease suffer from a total of 1 cases of ureteral injury complicated with (account-ing for 1.61%), secondary surgery disease had bowel injury complicated with a total of 2 cases (accounting for than 3.23%), ureteral injury complicated. A total of 2 cases(accounted 3.23%). It can be seen that the incidence of postoper-ative complications in patients with a history of surgery is much lower than that of the two patients, and has a statisti-cally significant difference (P<0.05). Conclusion Laparoscopic surgery in the treatment of ectopic pregnancy after la-paroscopic surgery has a high success rate, which is quite an ideal. In this regard, the incidence of disease in gynecolo-gy and obstetrics surgery history and incidence of complications, pelvic adhesion degree, operation time, intraoperative blood loss, conversion laparotomy rate and other aspects of a positive correlation. The difficulty of laparoscopic surgery is often due to a number of gynecological and obstetric surgery history, it is necessary to carefully performed laparo-scopic surgery.
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