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目的:研究腹腔镜手术治疗异位妊娠的优越性。方法:125例异位妊娠患者随机分为两组。腹腔镜组68例,采用气管插管+静脉全身麻醉,常规建立气腹,根据病情及患者需求等因素决定手术方式;开腹组57例,采用硬膜外麻醉,按常规开腹行输卵管切除术、输卵管开窗取胚术或卵巢胚胎切除术。结果:腹腔镜组顺利完成手术,两组患者的术中出血量、术后需镇痛例数、肛门排气时间、术后进食时间、住院时间及术后切口感染例数差异均有统计学意义(P<0.05)。结论:腹腔镜手术出血少、手术时间短、术后不需镇痛、术后病率低、肛门排气时间早、住院时间短、恢复快、术后妊娠率高,可作为治疗异位妊娠的首选术式。
Objective: To study the advantages of laparoscopic surgery for ectopic pregnancy. Methods: 125 cases of ectopic pregnancy were randomly divided into two groups. Laparoscopic group 68 cases, the use of endotracheal intubation + intravenous general anesthesia, the conventional establishment of pneumoperitoneum, according to the condition and patient needs and other factors determine the surgical approach; open group of 57 patients with epidural anesthesia, according to conventional open abdominal tubal resection Surgery, tubal fenestration or ovarian embryo resection. Results: The operation of laparoscopic group was completed successfully. There were statistically significant differences between the two groups in the amount of blood loss, postoperative analgesia cases, anal exhaust time, postoperative eating time, hospitalization time and postoperative incision infection Significance (P <0.05). Conclusion: Laparoscopic surgery less bleeding, short operative time, no postoperative analgesia, postoperative morbidity, early anal exhaust time, short hospital stay, rapid recovery, high postoperative pregnancy rate can be used as treatment of ectopic pregnancy The preferred surgical technique