论文部分内容阅读
目的:通过比较腹腔镜与开腹治疗宫外孕的疗效,分析目前更适合于宫外孕的手术方式。方法:回顾性分析我院在2012年5月~2013年6月期间收治的诊断明确的120例宫外孕患者的临床资料,将其随机均分为两组,即实验组和对照组,每组患者60名,实验组患者行腹腔镜治疗,对照组患者行开腹治疗,比较两组患者在手术耗时、术中出血的量、术后排气发生时间、术后疼痛时间、术后发热情况、术后抗生素使用时间、术后可以活动时间、住院时间、输卵管的通畅率及再次异位妊娠发生的情况。结果:60例宫外孕患者成功实行腹腔镜手术治疗,另60例患者实行开腹手术治疗,术后两组患者在手术耗时方面无显著性差异,腹腔镜组患者在术中出血的量、术后排气发生时间、术后疼痛发生率、术后发热情况、术后抗生素使用时间、术后可以活动时间、住院时间、再次异位妊娠发生的情况等均较开腹组患者的低,且两组患者在上述各项对比的差异有统计学意义(P<0.05),腹腔镜组患者的输卵管通畅率明显高于开放手术治疗组,且两组的差异有统计学意义(P<0.05)。结论:对于宫外孕患者通过腹腔镜手术治疗,不仅对患者的手术创伤小,切口小,术后恢复快,而且术后患者输卵管通畅率明显较开放手术组的高,且再次发生异位妊娠的概率低,值得临床推广。
OBJECTIVE: To compare the efficacy of laparoscopy and laparotomy in the treatment of ectopic pregnancy, and analyze the current surgical methods that are more suitable for ectopic pregnancy. Methods: The clinical data of 120 patients with clinically diagnosed ectopic pregnancy admitted to our hospital from May 2012 to June 2013 were retrospectively analyzed. They were randomly divided into two groups: experimental group and control group. Patients in each group 60 patients in the experimental group underwent laparoscopy and the control group underwent laparotomy. The patients in the control group were compared in terms of operation time, amount of intraoperative bleeding, postoperative exhaust time, postoperative pain time and postoperative fever , Postoperative antibiotic use time, postoperative activity time, length of stay, fallopian tube patency and recurrence of ectopic pregnancy. Results: 60 cases of ectopic pregnancy were successfully treated with laparoscopic surgery, and the other 60 cases were treated by laparotomy. There was no significant difference in the operation time between the two groups after operation, and the amount of intraoperative bleeding in laparoscopic group The time of post-extubation, the incidence of post-operative pain, postoperative fever, postoperative antibiotic use time, postoperative activity time, length of hospital stay, and recurrence of ectopic pregnancy were all lower than those in the open group The difference between the two groups was statistically significant (P <0.05). The tubal patency rate in the laparoscopic group was significantly higher than that in the open surgery group, and the difference was statistically significant (P <0.05) . Conclusion: For patients with ectopic pregnancy treated by laparoscopic surgery, not only the patient’s surgical trauma, small incision, postoperative recovery fast, and postoperative tubal patency rate was significantly higher than open surgery group, and the probability of recurrence of ectopic pregnancy Low, it is worth clinical promotion.