摘要
目的探讨腹腔镜低气腹压法治疗宫外孕大出血患者的临床疗效。方法选取自2019年5月至2020年1月北部战区总医院收治的90例宫外孕大出血患者为研究对象。采用随机数字表法将其分为A、B两组,每组各45例。A组患者采取腹腔镜传统气腹压法治疗,B组患者采取腹腔镜低气腹压法治疗。比较两组患者的临床疗效,术后的腹痛缓解时间、肛门排气时间、积血清除时间、住院时间及并发症发生率。结果B组患者治疗的总有效率明显高于A组,差异有统计学意义(P<0.05)。B组患者的腹痛缓解时间、肛门排气时间、积血清除时间及住院时间均明显短于A组,差异有统计学意义(P<0.05)。B组患者的并发症发生率明显低于A组,差异有统计学意义(P<0.05)。结论腹腔镜低气腹压法在宫外孕大出血患者中的应用效果显著,能有效改善临床症状,降低并发症的发生率,且术后恢复快。
Objective To investigate the effect of laparoscopic hypobaric abdominal pressure in patients with massive hemorrhage of ectopic pregnancy.Methods A retrospective study was performed on 90 cases of patients with massive hemorrhage induced by ectopic pregnancy who were admitted from May 2019 to January 2020.Patients were randomly divided into the Group A and Group B,with 45 cases in each group.Patients of Group A were treated with traditional laparoscopic pneumoperitoneum,and the patients of Group B were treated with laparoscopic hypobaric abdominal pressure.The clinical effects of the two groups were compared,and the abdominal pain relief time,anal exhaust time,clearance time of blood accumulation,hospitalization time and complications were analyzed.Results The total effective rate of treatment in Group B was significantly higher than that in Group A,and the difference was statistically significant(P<0.05).The abdominal pain relief time,anal exhaust time,hematocele clearance time and hospital stay time of patients in Group B were significantly shorter than those in Group A(P<0.05).The incidence of complications in Group B was significantly lower than that in Group A(P<0.05).Conclusion The application of laparoscopic hypobaric abdominal pressure method in the patients with ectopic pregnancy with massive hemorrhage has a significant effect,which can effectively improve the clinical symptoms,reduce the incidence of complications,and recover quickly after surgery.
作者
王坤
翟爽
WANG Kun;ZHAI Shuang(Department of Obstetrics and Gynecology,General Hospital of Northern Theater Command,Shenyang 110016,China)
出处
《临床军医杂志》
CAS
2020年第6期685-687,共3页
Clinical Journal of Medical Officers
关键词
腹腔镜
低气腹压法
宫外孕
大出血
Laparoscopy
Hypobaric abdominal pressure method
Ectopic pregnancy
Massive hemorrhage
