论文部分内容阅读
目的探讨腹腔镜下异位妊娠的手术方法、适应症、手术疗效及临床应用价值。方法将确诊为输卵管妊娠有手术指征,采用腹腔镜手术患者80例为观察组,回顾性分析采用开腹手术的异位妊娠80例为对照组,比较两组手术情况和术后情况。结果观察组手术时间(40.37±12.86)min,对照组手术时间(40.501±2.38)min,P>0.05,无显性著差异;观察组术中出血量为(15.145±2.27)ml,对照组术中出血量为(48.70±12.38)ml,P<0.01,具有显著性差异;观察组术后离床时间为(1.28±5.27)d,对照组术后离床时间为(2.82±1.25)d,P<0.01,具有显著性差异;观察组术后2d体温>38℃6例,占(6%),对照组28例,占(28%),P<0.01,具有显著性差异;观察组术后肛门排气时间(1.20±0.5)d,对照组(2.2±0.9)d,P<0.01,具有显著性差异;对照组伤口100%甲级愈合,观察组95%,P<0.01,具有显著性差异;观察组平均住院天数(3.42±1.00)d,对照组为(6.741±0.21)d,P<0.01,具有显著差异性。结论腹腔镜手术创伤小,恢复快,术中出血少,住院时间短,是治疗异位妊娠首选的手术方式。
Objective To investigate the surgical methods, indications, surgical efficacy and clinical value of laparoscopic ectopic pregnancy. Methods Eighty patients with laparoscopic surgery were enrolled in this study. Eighty cases of ectopic pregnancy undergoing laparotomy as a control group were retrospectively analyzed. The operation and postoperative condition were compared between the two groups. Results The operation time of the observation group was (40.37 ± 12.86) min and the operation time of the control group (40.501 ± 2.38) min, P> 0.05. There was no significant difference in the observation group. The bleeding volume in the observation group was (15.145 ± 2.27) ml, The bleeding time in observation group was (1.28 ± 5.27) days after operation, and (2.82 ± 1.25) days in control group after operation. The bleeding time in control group was (48.70 ± 12.38) ml, P <0.01, P <0.01, with significant difference; the observation group 2 days postoperative body temperature> 38 ℃ 6 cases, accounting for 6%, control group 28 cases, accounting for 28%, P <0.01, with significant differences; (1.20 ± 0.5) d after the anus and control group (2.2 ± 0.9) d, P <0.01. There was a significant difference between the control group and the observation group (95%, P <0.01) (3.42 ± 1.00) days in observation group and (6.741 ± 0.21) days in control group, respectively, with significant difference. Conclusion Laparoscopic surgery trauma, fast recovery, less bleeding, shorter hospital stay, is the preferred surgical treatment of ectopic pregnancy.