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目的比较腹腔镜手术与开腹手术治疗输卵管妊娠的疗效。方法共80例输卵管妊娠患者,其中行腹腔镜手术40例,行开腹手术40例,比较两组的手术效果。结果与开腹组比较,腹腔镜组手术时间短,术中出血少,术后恢复快,肛门排气时间快,住院时间短,P<0.01或P<0.05.且腹腔镜组术后无1例出现并发症。腹腔镜组输卵管完全通畅率77.5%(31/40),要求生育者38例,1年内受孕率81.6%(31/38),明显高于对照组,P<0.05。结论腹腔镜治疗输卵管妊娠与开腹手术相比有明显的优越性,具有手术时间短、术中出血少、住院时间短,术后并发症少等优点,值得推广和应用。
Objective To compare the efficacy of laparoscopic surgery and laparotomy in the treatment of tubal pregnancy. Methods A total of 80 cases of tubal pregnancy patients, including laparoscopic surgery in 40 cases, 40 cases underwent open surgery, the two groups were compared the effect of surgery. Results Compared with the open group, laparoscopic group had shorter operative time, less intraoperative bleeding, faster postoperative recovery, faster anal exhaust time, shorter hospital stay, P <0.01 or P <0.05, and no laparoscopic group Cases of complications. Laparoscopic tubal patency rate was 77.5% (31/40), requiring 38 births and 81.6% (31/38) conception in one year, which was significantly higher than that of the control group (P <0.05). Conclusion Laparoscopic treatment of tubal pregnancy has obvious advantages over laparotomy, which has the advantages of short operative time, less intraoperative bleeding, shorter hospital stay and fewer postoperative complications, which is worthy of promotion and application.