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目的:研究比较腹腔镜手术和开腹手术治疗异位妊娠的临床疗效。方法:将我院2011年02月到2012年11月收治的160例异位妊娠患者随机分为腹腔镜手术组和开腹手术组,腹腔镜手术组患者应用腹腔镜采取输卵管切口取胚手术及伞端挤取胚术,开腹手术组患者使用常规开腹手术治疗。对两组患者的手术时间、术中出血量、术后肛门首次排气时间及输卵管通畅率进行对比观察。结果:腹腔镜手术组患者在手术时间、术中出血量、术后肛门首次排气时间及输卵管通畅率方面均优于开腹手术组患者(P<0.05)。结论:腹腔镜手术取得的临床疗效较开腹手术组更显著,能够满足患者的生育需求。
Objective: To compare the clinical efficacy of laparoscopic surgery and laparotomy in the treatment of ectopic pregnancy. Methods: 160 cases of ectopic pregnancy admitted to our hospital from February 2011 to November 2012 were randomly divided into laparoscopic surgery group and laparotomy group, and laparoscopic surgery group was treated by laparoscopic tubal surgery and Umbrella extrusion embryo surgery, open surgery patients using conventional laparotomy. The operation time, intraoperative blood loss, the time of the first postoperative anal exhaust and the tubal patency rate were compared between the two groups. Results: The patients in laparoscopic surgery group were superior to those in open surgery group in operative time, intraoperative blood loss, first time of anus after extubation and tubal patency rate (P <0.05). Conclusion: The clinical efficacy of laparoscopic surgery is more significant than the open surgery group, to meet the needs of patients with reproductive.