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目的探讨腹腔镜技术在治疗异位妊娠的疗效;方法对20例异位妊娠患者根据具体情况于腹腔镜下行输卵管切除术、输卵管开窗术、输卵管保守性手术等不同手术,统计手术时间、出血量、肠道功能恢复、镇痛药使用、切口感染、住院天数。与对照组(随机抽取我院20例同期异位妊娠开腹手术)进行比较。结果腹腔镜手术组20例手术均顺利,无中转开腹。与开腹组相比较,在手术时间、出血量、术后排气时间、切口感染、住院天数差异有统计学意义(P<0.05)。结论在异位妊娠手术中,腹腔镜手术较开腹手术创伤小、出血少、手术时间短、术后不需镇痛、术后病率低、肠道功能恢复时间早、住院时间短、恢复快、并发症少、术后妊娠率高,可作为治疗异位妊娠的一种常规手术加以推广。
Objective To investigate the efficacy of laparoscopy in the treatment of ectopic pregnancy.Methods 20 cases of ectopic pregnancy according to the specific circumstances in the laparoscopic tubal resection, fallopian tube fenestration, conservative surgery and other tubal surgery, statistical operation time, bleeding Volume, intestinal function recovery, analgesic use, incision infection, hospitalization days. And control group (randomly selected 20 cases of synchronous ectopic pregnancy in our hospital laparotomy) were compared. Results In the laparoscopic operation group, 20 cases of operation were smooth and no laparotomy. Compared with the open group, there was a significant difference in operative time, bleeding volume, postoperative exhaust time, incision infection and hospitalization days (P <0.05). Conclusion In ectopic pregnancy, laparoscopic surgery has less trauma, less bleeding, shorter operation time, no postoperative analgesia, low postoperative morbidity, earlier gut function recovery, shorter hospital stay and recovery Fast, less complications, high rate of postoperative pregnancy, can be used as a routine treatment of ectopic pregnancy to be promoted.