摘要
目的 探讨腹腔镜在宫外孕手术治疗中的应用及治疗效果.方法 以72例经腹腔镜手术治疗的宫外孕患者为治疗组,随机选择同期经急诊剖腹手术治疗的宫外孕患者60例为对照组,比较两组患者术中及术后情况.结果 术后两组患者经病理检查确诊为输卵管妊娠,两组患者均无并发症发生;治疗组患者术中平均出血量、手术时间、术后下床活动及肛门排气时间、住院天数均显著低于对照组(P＜0.05).结论 腹腔镜手术治疗宫外孕创伤小、手术时间短、腹部瘢痕小,术后恢复快,下床活动时间、肛门排气时间及住院天数比较均少于剖腹手术,患者乐于接受,术后生活质量提高,与开腹手术相比优势明显.
Objective To evaluate the therapeutic efficacy and application of laparoscopic surgery for the treatment of ectopic pregnancy. Methods Seventy-two patients with ectopic pregnancy treated by laparoscopic surgery were selected as treatment group. Sixty patients with ectopic pregnancy treated by emergency laparotomy were randomly selected as control group. Intraoperative and postoperative situation of patients in the two groups were compared. Results All patients in the two groups were pathologically diagnosed as tubal pregnancy.No complications occurred in both two groups.The average amount of bleeding within surgery, time of operation, time of postoperative out-of-bed activity, and time of anal exhaust, hospital days in treatment group were significantly lower than that in control group (P<0.05). Conclusions Treatment of ectopic pregnancy by laparoscopic operation has the advantage of less trauma, short surgery time, rapid recovery, small abdominal scar.Time of operation, postoperative out-of-bed activity, anal exhaust, and hospital days were less than that of laparotomy.The patients are willing to accept laparoscopic operation compared with laparotomy due to improve quality of life.
出处
《中国实用医刊》
2010年第18期34-35,共2页
Chinese Journal of Practical Medicine
关键词
宫外孕
腹腔镜手术
剖腹手术
疗效分析
Ectopic pregnancy
Laparoscopic surgery
Laparotomy
Efficacy analysis
