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目的探讨悬吊式腹腔镜在治疗异位妊娠伴腹腔内大量出血中的优势和可行性。方法回顾对67例腹腔内出血≥1 000 ml的异位妊娠患者,根据患者意愿决定手术方式,其中29例行悬吊式腹腔镜手术的分析,38例行传统开腹手术,比较两者腹腔内出血量、手术时间、术中出血量、术后排气时间及住院时间及住院费用。结果两组患者停经天数、术前血压、腹腔内出血量、术中出血量、并发症、手术时间、差异无统计学意义(P>0.05)。术后排气时间、住院时间、住院费用相比差异有统计学意义(P<0.05)。结论无气腹腹腔镜治疗异位妊娠伴腹腔内大量出血有明显优势,且恢复快、住院时间短,操作简单,尤其适用于基层医院。
Objective To investigate the advantages and feasibility of pendant laparoscopy in the treatment of massive intra-abdominal hemorrhage with ectopic pregnancy. Methods Retrospective analysis of 67 cases of ectopic pregnancy ≥1 000 ml intraperitoneal hemorrhage, according to the wishes of patients decide on the surgical approach, of which 29 cases were analyzed by hanging laparoscopic surgery, 38 cases of conventional laparotomy, compared the two intraperitoneal hemorrhage Volume, operation time, intraoperative blood loss, postoperative exhaust time and hospitalization and hospitalization costs. Results The days of menopause, preoperative blood pressure, intra-abdominal blood loss, intraoperative blood loss, complications and operation time were not significantly different between the two groups (P> 0.05). Postoperative exhaust time, hospital stay, hospitalization costs were significantly different (P <0.05). Conclusion Laparoscopic pneumoperitoneum laparoscopic treatment of ectopic pregnancy with intra-abdominal massive bleeding has obvious advantages, and fast recovery, shorter hospital stay, simple operation, especially for primary hospitals.