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目的观察腹腔镜手术治疗异位妊娠的手术方法和临床疗效。方法对2010年1月—2014年12月采用腹腔镜手术治疗异位妊娠80例列为试验组,另选取同期80例患者为对照组,实施传统开腹手术治疗,比较两组患者术前一般情况、手术时间、书中出血、平均住院天数、并发症、术后恢复情况。结果异位妊娠腹腔镜手术与传统开腹手术相比具有手术时间短、术中出血量少、无明显并发症,平均住院日少,术后恢复快等优点,各项指标均有显著性差异(P<0.05)。结论腹腔镜手术治疗异位妊娠创伤小,恢复快,具有诊断和治疗双重作用,可使用于多次开腹后异位妊娠患者,是临床值得推广的手术。
Objective To observe the surgical methods and clinical effects of laparoscopic surgery for ectopic pregnancy. Methods 80 cases of ectopic pregnancy treated with laparoscopic surgery from January 2010 to December 2014 were enrolled as the experimental group. Another 80 patients were selected as the control group during the same period. The patients underwent traditional laparotomy. The patients in the two groups were compared before operation Situation, operation time, book bleeding, average days of hospitalization, complications, postoperative recovery. Results Compared with traditional laparotomy, laparoscopic ectopic pregnancy has the advantages of shorter operation time, less intraoperative blood loss, no obvious complication, less average length of stay, quick recovery after operation, and all the indexes have significant differences (P <0.05). Conclusions Laparoscopic surgery for ectopic pregnancy trauma is small, fast recovery, with the dual role of diagnosis and treatment, can be used in patients with multiple ectopic pregnancy after laparotomy is clinically worthy of promotion of surgery.