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目的:对比研究高龄产妇异位妊娠经腹腔镜与开腹手术治疗的临床效果。方法:将高龄异位妊娠产妇分别行开腹手术和经腹腔镜手术治疗,并对两组患者的临床疗效(手术时间、术中出血量、腹痛消失时间、下床时间、排气时间、住院天数及患者HCG转阴情况)进行对比分析和统计学分析处理。结果:腹腔镜组平均手术时间(36.06±20.27)min较开腹组(53.62±14.84)min显著减少,术中出血量(38.65±7.69)ml较开腹组(87.45±9.17)ml少,差异均有统计学意义(P<0.05);两组患者术后腹痛消失时间、下床活动时间、排气时间和住院天数差异均有统计学意义(P<0.05)。两组患者HCG转阴天数和14天内HCG转阴率差异无统计学意义(P>0.05),治疗效果相同。结论:对高龄患者实行经腹腔镜手术治疗异位妊娠能有效缩短手术时间,较少术中出血量,使患者术后腹痛时间、下床时间、排气时间以及住院时间均显著缩短,且能达到与开腹手术相同的治疗效果,值得临床推广。
Objective: To compare the clinical effects of laparoscopic and laparotomy in the treatment of ectopic pregnancy in elderly women. Methods: The elderly women with ectopic pregnancy underwent laparotomy and laparoscopic surgery respectively. The clinical effects (operation time, intraoperative blood loss, disappearance of abdominal pain, time to bed, exhaust time, hospitalization Days and patients with negative HCG situation) for comparative analysis and statistical analysis. Results: The mean operative time in laparoscopic group (36.06 ± 20.27) min was significantly lower than that in laparotomy group (53.62 ± 14.84) min, and the amount of blood loss (38.65 ± 7.69) ml was less than that in open group (87.45 ± 9.17) ml (P <0.05). There was significant difference between the two groups in the disappearance of abdominal pain, the time of going out of bed, the time of exhausting and the length of hospital stay in both groups (P <0.05). There was no significant difference between HCG negative days and HCG negative rates within 14 days in both groups (P> 0.05). The treatment effect was the same. Conclusion: Laparoscopic surgery for elderly patients with ectopic pregnancy can effectively shorten the operation time and reduce the amount of intraoperative blood loss, and significantly reduce the postoperative abdominal pain time, bed time, exhaust time and hospitalization time, and can To achieve the same treatment with open surgery, it is worth clinical promotion.