摘要
目的探讨腹腔镜手术与开腹手术对输卵管妊娠保留输卵管性手术的效果与安全性。方法以腹腔镜下行输卵管妊娠病灶清除术110例为腹腔镜组,以同期开腹手术下输卵管妊娠病灶清除术122例为开腹手术组,比较其手术出血量、肛门排气时间、术后镇痛、术后发热等情况。结果腹腔镜组与开腹组的术中出血量分别为(25.2±12.22)mL和(62.1±14.33)mL,肛门排气时间分别为(20.1±5.2)h及(33.2±12.8)h,两组比较差异有统计学意义。腹腔镜组术后镇痛率(6.36%)、术后发热率(9.09%)明显低于开腹手术组(32.0%和21.31%),P<0.05;腹腔镜组术后持续性异位妊娠发生率(3.64%)和开腹组(2.46%)相比无明显差异(P>0.05)。结论腹腔镜下输卵管妊娠的保守性手术安全有效,对有生育要求的妇女更具优势。
Objective To investigate the efficacy and safety of laparoscopic and laparotomy surgery for tubal ectopic pregnancy reservations. Methods Three hundred and thirty two cases of tubal pregnancy were divided into two groups： laparoscopy group （110 cases underwent laparoscopic removal of lesion） and laparotomy group （122 cases underwent laparotomy in the same period）. The intraoperative blood loss, anal exhaust time, postoperative analgesic rate and heating rate in two groups were analyzed. Results The intraoperative blood loss were （ 25.2 ± 12.22 ） mL in the laparoscopy group and （62.1 ± 14.33 ） mL in the laparotomy group, and anal exhaust time were （20.1 ± 5.2） h and （ 33.2 ± 12.8 ） h, respectively. There was significant difference between the two groups （ P 〈 0.05 ）. Postoperative analgesic rate and heating rate in laparoscopy group were significantly lower than those in laparotomy group （ P 〈 0.05 ）. No significant difference was found in the incidence of postoperative continuing ectopic pregnancy between the two groups （ P 〉 0.05 ）. Conclusion Laparoscopic conservative surgery for tubal pregnancy is safe and effective, especially for the women who have a childbearing request.
出处
《微创医学》
2007年第2期101-103,共3页
Journal of Minimally Invasive Medicine
