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应用腹腔镜治疗宫外孕98例分析及与开腹手术的疗效比较 被引量:82

Clinical analysis of using laparoscopy to diagnose and treat ectopic pregnancy and complication with normal operation
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摘要 目的:比较腹腔镜手术与开腹手术治疗宫外孕的优缺点。方法:回顾性分析两家医院近3年收治的177例宫外孕患者,其中100例接受腹腔镜手术,2例中转开腹;77例接受传统开腹手术。比较手术及住院情况,并进行术后随访。结果:98例成功实施腹腔镜手术,手术时间较开腹手术时间长,肛门排气时间、停留尿管时间、下床活动时间、住院天数等均较开腹手术短,差异有显著性(P<0.05);腹腔镜组术后持续性宫外孕发生率高于开腹手术组(P<0.05);术后随访,两组输卵管通畅比例无明显差异。结论:腹腔镜下宫外孕手术具有创伤小、恢复快、并发症少等优点,具有诊断和治疗的双重功效,值得推广。 Objective: To study the value of laparoscope in diagnosis and treatment of ectopic pregnancy. Methods: 177 patients with ectopic pregnancy treated with laparoscope and normal operation were retrospectively analyzed. Results: Every patients operated successful. 100 patients treated with laparoscopy, 2 of them transfer to normal operation. The operation time of laparoscopy was longer than that of normal operation. But The patients treated with laparoscopy recovered earlier than those with normal operation, and the in - hospital - time was shorter than those of normal operation. Conclusion: Laparoscopic surgery of ectopic pregnancy is simple and effective, which can serve to diagnose and treat ectopic pregnancy.
出处 《中国妇幼保健》 CAS 北大核心 2007年第32期4583-4585,共3页 Maternal and Child Health Care of China
基金 吉林省科技厅基金资助项目(200505182)
关键词 异位妊娠 腹腔镜 手术 治疗 Ectopic pregnancy Laparoscope Operation Therapy
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