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目的:评估腹腔镜手术治疗异位妊娠患者的临床效果并总结其医学价值。方法:选取2013年09月-2014年10月重庆市江津区妇幼保健院收治的异位妊娠患者55例,随机分成对照组25例行开腹手术、观察组30例行腹腔镜手术,对比两组治疗效果。结果:观察组术中出血量少于对照组,手术时间、肛门排气时间、住院时间均短于对照组,组间比较,差异具有统计学意义(P<0.05);观察组术后镇痛药物应用率为10.0%,并发症发生率为0.0%,输卵管复通率为90.0%;对照组术后镇痛药物应用率为84.0%,并发症发生率为16.0%,输卵管复通率为72.0%,组间比较,差异具有统计学意义(P<0.05)。结论:腹腔镜手术治疗异位妊娠,创伤小、恢复快,安全性高。
Objective: To evaluate the clinical effect of laparoscopic surgery in patients with ectopic pregnancy and to summarize its medical value. Methods: Seventy-five patients with ectopic pregnancy admitted to the Jiangjin District Maternal and Child Health Hospital of Chongqing from September 2013 to October 2014 were randomly divided into control group (n = 25) undergoing laparotomy, observation group (n = 30) Group treatment effect. Results: The bleeding volume in the observation group was less than that in the control group, and the operation time, exhaust time and hospitalization time were shorter than those in the control group. There was significant difference between the two groups (P <0.05) The rate of drug application was 10.0%, the complication rate was 0.0% and the tubal recanalization rate was 90.0%. The analgesic application rate in the control group was 84.0%, the complication rate was 16.0% and the tubal recanalization rate was 72.0 %, Compared between groups, the difference was statistically significant (P <0.05). Conclusion: Laparoscopic surgery for ectopic pregnancy, trauma, rapid recovery, high safety.