摘要
目的:研究分析腹腔镜手术与传统开腹手术对异位妊娠临床治疗效果。方法:选择240例异位妊娠患者作为研究对象,随机均分为两组,即对照组和观察组,对照组患者给予开腹手术治疗,共100例患者,观察组患者给予腹腔镜手术治疗,共140例患者。对比两种治疗方式的手术时间、患者术中出血量、术后肛门排气时间、住院天数以及术后患者输卵管畅通率以及并发症发生率等情况。结果:对照组患者手术时间71.5±13.8min,略长于观察组64.5±11.5min,但差异不具有统计学意义(P>0.05);对照组患者在术中出血量、术后肛门排气时间、住院天数、输卵管畅通率、并发症发生率分别为45.9±6.7ml、23.3±4.9h、6.5±2.1d、57.0%、5.0%,显著高于观察组患者术的22.4±7.4ml、11.2±5.3h、4.2±1.3d、89.2%、1.4%,两组结果对比差异均具有统计学意义(P<0.05)。结论:采用腹腔镜手术治疗异位妊娠相对于开腹手术,显著减少患者的术中出血量、术后肛门排气时间、住院天数以及并发症发生率,提高术后患者输卵管疏通率等方面具有显著优势,具有临床推广价值。
Objective： To study the clinical effect of laparoscopic surgery and traditional open surgery for the treatment of ectopic pregnancy. Methods ：240 patients with ectopic pregnancy from January 2013 to March 2015 in our hospital were divided into two groups at random, the control group and observation group, there are 100 patients in control group and 140 cases in observation group. Given control group laparotomy surgery, observation group for laparoscopic surgery. Compared to the operation time of treatment, intraoperative blood loss, postopera- tive anal exhaust time, postoperative hospitalization days and patients with fallopian tube flow rate and the incidence of complications. Results ：The operation time in the control group patients were（71.5± 13.8）min, that in the ob- servation group were （64.5±11.5）min（P〉0.05） ; intraoperative blood loss, postoperative anal exhaust time, hos pitalization days postoperative tubal flow rate , compIication rate were 45. 9 ±6.7ml, 23.3 ±4.9h, 6. 5 ± 2. 1d, 57. 0 % ,5.0 M, those in observation group were22.4± 7.4ml, 11.2 ± 5.3h, 4.2 ± 1.3d, 89.2%、1.4%, the differences between two groups were statistically significant （P〈0.05）. Conclusion： Laparoscopic surgery in the treatment of ectopic pregnancy compared with open operation, reduce intraoperative blood loss, postoperative anal exhaust time, hospitalization days and the incidence of complications, increase tubal dredge,it has clinical value.
出处
《陕西医学杂志》
CAS
2016年第4期423-424,共2页
Shaanxi Medical Journal
