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目的分析腹腔镜保守手术与传统开腹手术的治疗效果。方法对收治的136例输卵管妊娠的患者,分为开腹手术组和腹腔镜手术组各68例,对两组术中、术后的情况进行分析。结果腹腔镜组术中出血量、住院时间、术后肛门排气时间、离床活动时间,与开腹组比较,差异有统计学意义或高度统计学意义(P<0.05或P<0.01),各指标优于开腹组。术后随访2～3年,腹腔镜组再次宫内妊娠54例(79.41%),开腹手术组再次宫内妊娠40例(58.82%),差异有统计学意义(P<0.05)。结论应用腹腔镜行输卵管保守手术治疗优于传统的开腹手术,腹腔镜手术可以作为输卵管妊娠且有生育要求的患者的保守手术的首选。
Objective To analyze the therapeutic effect of laparoscopic conservative surgery and traditional laparotomy. Methods A total of 136 patients with tubal pregnancy who were treated were divided into laparotomy group and laparoscopic surgery group, 68 cases each. The intraoperative and postoperative conditions were analyzed. Results The amount of bleeding, length of hospital stay, time of postoperative anal exhaust, time of leaving bed in laparoscopic group were significantly different from those in open group (P <0.05 or P <0.01) Each index is superior to the open group. There were 54 cases (79.41%) of intrauterine pregnancy in laparoscopic group and 40 cases (58.82%) of intrauterine pregnancy in laparotomy group after 2 to 3 years of follow-up. The difference was statistically significant (P <0.05). Conclusion Laparoscopic tubal conservative surgery is superior to traditional laparotomy. Laparoscopic surgery can be the first choice of conservative surgery for tubal pregnancy and fertility-requiring patients.