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目的探讨腹腔镜手术治疗休克型异位妊娠的安全性及临床疗效。方法回顾性分析近8年经北京市通州区妇幼保健院治疗的休克型异位妊娠128例,其中腹腔镜手术组52例,开腹手术组76例,对两组术中、术后及预后的情况进行对比分析。结果腔镜组成功实施手术,无中转开腹,无并发症发生。在手术时间、术后排气时间、抗生素使用时间、住院时间及术后镇痛率等方面明显优于开腹组,差异有统计学意义(P<0.05)。结论在具备熟练的腹腔镜操作技术,及时有效抗休克治疗的情况下,腹腔镜手术治疗休克型异位妊娠安全可行,疗效确定。
Objective To investigate the safety and clinical efficacy of laparoscopic surgery in the treatment of shock ectopic pregnancy. Methods A retrospective analysis of 128 cases of shock-type ectopic pregnancy treated by Tongzhou District Maternal and Child Health Hospital in Beijing in recent 8 years included 52 cases of laparoscopic surgery group and 76 cases of laparotomy group. The intraoperative, postoperative and prognosis The situation carries on the comparative analysis. Results of the successful implementation of endoscopic surgery group, no transit laparotomy, no complications. The operation time, postoperative exhaust time, antibiotic use time, hospitalization time and postoperative analgesia rate were significantly better than those in open group, the difference was statistically significant (P <0.05). Conclusions Laparoscopic surgery is safe, feasible and effective in the treatment of shock ectopic pregnancy with skilled laparoscopic technique and timely and effective anti-shock therapy.