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目的分析开腹手术及腹腔镜手术对异位妊娠的临床疗效。方法 92例异位妊娠患者,随机分为对照组(实施开腹手术)及观察组(实施腹腔镜手术),各46例,比较两组术中及术后情况。结果与对照组比较,观察组手术时间、术后下床活动时间、肛门排气时间、留置尿管时间、腹痛消失时间、术中出血量更优(P<0.05)。观察组术后并发症发生率为4.3%,明显低于对照组的26.1%(P<0.05)。观察组术后输卵管通畅率为91.3%,明显高于对照组的69.6%(P<0.05)。术后随访6个月,观察组宫内妊娠率为50.0%,显著优于对照组的28.3%(P<0.05)。结论采用腹腔镜手术治疗异位妊娠疗效良好,值得应用推广。
Objective To analyze the clinical effect of laparotomy and laparoscopic surgery on ectopic pregnancy. Methods 92 patients with ectopic pregnancy were randomly divided into control group (laparotomy) and observation group (laparoscopic surgery), 46 cases in each group. The intraoperative and postoperative conditions were compared between the two groups. Results Compared with the control group, the operation time of the observation group, the time of ambulation after operation, the time of anus exhaust, the time of indwelling catheter, the disappearance of abdominal pain and the amount of bleeding during operation were better (P <0.05). The incidence of postoperative complications in the observation group was 4.3%, which was significantly lower than that in the control group (26.1%, P <0.05). The tubal patency rate in the observation group was 91.3%, which was significantly higher than that in the control group (69.6%, P <0.05). After 6 months of follow-up, the intrauterine pregnancy rate in the observation group was 50.0%, which was significantly better than that in the control group (28.3%, P <0.05). Conclusion Laparoscopic surgery for ectopic pregnancy with good effect, it is worth to promote the application.