腹腔镜手术与剖腹手术治疗异位妊娠的临床效果

摘要

Objective:To investigate the clinical effects of laparoscopic surgery and laparotomy in the treatment of ectopic pregnancy. Method:Obstetrics and gynecology in our hospital from May 2010-2013 in May confirmed 50 cases of ectopic pregnancy in hospitalized patients,They were divided into study groups according to the type of surgery(laparoscopic group)27 cases and the control group(laparotomy group )23 cases,operative time,blood loss,anal exhaust time,ambulation time,catheter time and hospital stay of the two groups were observed. Result:The laparoscopic group blood loss was less compared to the open surgery group,the difference was very significant(P<0.01),laparoscopic surgical time laparotomy group with a significant difference(P<0.05). Postoperative ambulation time of the laparoscopic group,anal exhaust time,hospital stay,catheter time and laparotomy group difference were significant difference(P<0.05). Conclusion:The treatment of ectopic pregnancy laparoscopic surgery can be selected easily retained tubal its damage,reduce pelvic adhesions,reduce tubal obstruction,is more suitable for patients with fertility requirements.%目的：探讨腹腔镜手术与剖腹手术治疗异位妊娠的临床效果。方法：选择2010年5月-2013年5月在本院妇产科确诊为异位妊娠的住院患者50例，按照手术种类分为腹腔镜组27例，剖腹手术组23例，观察两组手术时间、术中出血量、肛门排气时间、下床活动时间，留置导管时间和住院时间。结果：腹腔镜组术中出血量较开腹组少，两组比较差异有显著统计学意义（P<0.01），腹腔镜组手术时间与开腹组比较差异具有统计学意义（P<0.05）。腹腔镜组术后下床活动时间、肛门排气时间、住院时间，导管留置时间与开腹组比较差异有统计学意义（P<0.05）。结论：治疗异位妊娠可选择腹腔镜手术，易于保留输卵管，其损伤小，减少盆腔粘连，减少输卵管阻塞，更适合有生育要求的患者。