论文部分内容阅读
目的探讨腹腔镜手术在治疗输卵管妊娠中的临床应用价值。方法收集杭州师范大学附属医院2005年1月至2007年6月期间腹腔镜治疗输卵管妊娠病例78例,随机选择同期本院开腹手术治疗输卵管妊娠44例为对照组。记录其术前病史、阳性体征、手术时间、术中出血量、术后抗生素使用时间、术后肛门恢复排气时间、住院费用和住院天数。手术方式:输卵管妊娠部位切开取胚术、输卵管妊娠破裂清理病灶修补术及患侧输卵管切除术。结果腹腔镜手术组术中出血量少(t=8.993,P<0.05)、手术时间短(t=8.533,P<0.05)、术后肛门恢复排气时间短(t=11.979,P<0.05)、术后抗生素使用时间短(t=9.548,P<0.05)、术后住院时间短(t=7.744,P<0.05),但手术费用较高(t=6.580,P<0.05)。结论腹腔镜手术是治疗输卵管异位妊娠的一种理想的手术方式,值得推广。
Objective To investigate the clinical value of laparoscopic surgery in the treatment of tubal pregnancy. Methods 78 patients with tubal pregnancy treated by laparoscopy from January 2005 to June 2007 in the Affiliated Hospital of Hangzhou Normal University were enrolled. 44 cases of tubal pregnancy were selected randomly as the control group. Record the preoperative history, positive signs, operation time, intraoperative blood loss, postoperative antibiotic use time, postoperative anus recovery exhaust time, hospitalization costs and hospitalization days. Surgical methods: tubal pregnancy site removal embryo surgery, tubal pregnancy rupture clean repair lesions and ipsilateral tubal resection. Results The laparoscopic surgery group had less bleeding during operation (t = 8.993, P <0.05), shorter operative time (t = 8.533, (T = 9.548, P <0.05). The postoperative hospital stay was shorter (t = 7.744, P <0.05), but the cost of operation was higher (t = 6.580, P <0.05). Conclusion Laparoscopic surgery is an ideal surgical treatment of tubal ectopic pregnancy, it is worth promoting.