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目的:探讨腹腔镜与开腹手术治疗输卵管妊娠的优缺点及安全性。方法:选取输卵管妊娠患者共90例,其中腹腔镜手术53例(腹腔镜组),开腹手术37例(开腹组),观察手术时间、术中出血量、术后3天内平均体温、肛门排气时间、下床活动时间、总住院时间、术中及术后并发症等情况。结果:开腹组术中出血量、术后平均体温、排气时间、下床时间、住院费用、住院时间等指标均大于(长于)腹腔镜组,但是手术时间腹腔镜组长于开腹组,各项指标两组之间比较差异有统计学意义(P<0.05);腹腔镜组2例患者术后血β-HCG水平不下降加用药物治疗后恢复正常范围。结论:腹腔镜手术治疗输卵管妊娠术后恢复快,手术微创,但是费用较高,整体临床疗效优于开腹手术。
Objective: To investigate the advantages and disadvantages of laparoscopic and open surgery for tubal pregnancy and its safety. Methods: A total of 90 patients with tubal pregnancy were selected. Among them, laparoscopic surgery was performed in 53 cases (laparoscopic group) and laparotomy in 37 cases (laparotomy group). The operative time, intraoperative blood loss, average body temperature within 3 days after operation, Exhaust time, out of bed activity time, total length of hospital stay, intraoperative and postoperative complications and so on. Results: The intraoperative blood loss, postoperative average body temperature, exhaust time, bed time, hospitalization costs and hospital stay were all longer than those in laparoscopic group. However, laparoscopic group was longer than laparotomy group in open group, There were significant differences between the two groups (P <0.05). In the laparoscopic group, postoperative β-HCG levels did not decrease in 2 patients and returned to normal range after treatment. Conclusion: Laparoscopic surgery for tubal pregnancy recovered quickly after surgery, minimally invasive surgery, but the cost is higher, the overall clinical efficacy is superior to open surgery.