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目的评价输卵管妊娠患者应用腹腔镜诊断和治疗的临床价值。方法收集商丘市妇幼保健院2012年4月至2013年7月收治的126例输卵管妊娠患者,按住院时间随机分为观察组(70例)和对照组(56例),分别采用腹腔镜和开腹手术进行治疗。对两组患者在术中、术后的各项指标进行对比分析。结果手术时间出血量方面对比中,观察组分别为(36.9±17.2)min和(51.0±3.2)ml,对照组分别为(52.1±16.8)min和(163.0±40.7)ml,差异具有统计学意义(P<0.05)。观察组患者血β-HCG转阴时间、术后排气时间及住院时间明显少于对照组,差异有统计学意义(P<0.05)。结论应用腹腔镜对输卵管妊娠患者进行治疗可获得良好的效果,与开腹术相比具有明显的优势。
Objective To evaluate the clinical value of laparoscopic diagnosis and treatment of tubal pregnancy. Methods 126 cases of tubal pregnancy admitted from April 2012 to July 2013 in Shangqiu Maternal and Child Health Hospital were randomly divided into observation group (70 cases) and control group (56 cases) according to the length of hospital stay. Laparoscopy and open Abdominal surgery for treatment. The two groups of patients in surgery, postoperative indicators for comparative analysis. Results Compared with the control group, blood loss in operation time was (36.9 ± 17.2) min and (51.0 ± 3.2) ml in control group and (52.1 ± 16.8) and (163.0 ± 40.7) mL in control group, respectively, with statistical significance (P <0.05). The observation group patients with blood β-HCG negative time, postoperative exhaust time and hospital stay was significantly less than the control group, the difference was statistically significant (P <0.05). Conclusion Laparoscopic treatment of tubal pregnancy patients get good results, compared with open surgery has obvious advantages.