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目的:探讨腹腔镜和开腹手术治疗宫外孕的临床疗效。方法:选择190例宫外孕患者,按照手术方式分为腹腔镜手术组71例和开腹手术组119例。观察手术出血量、手术时间、术后发热情况、术后下床活动时间、术后胃肠功能恢复情况、术后镇痛情况、术后感染及持续性宫外孕及术后住院日等情况。结果腹腔镜组术中平均失血量、术后腹痛消失时间、术后发热率、抗生素使用时间、肠功能恢复时间、住院时间及并发症发生率均显著少于开腹术组,差异有显著统计学意义(p<0.05)。且两组并发症均为分离过程中的感染、脏器损伤、持续性输卵管妊娠(PEP)及腹胀等。结论:与开腹手术相比,腹腔镜手术具有临床疗效高、出血量低、恢复时间和住院时间短、并发症发生率低等优点,值得临床推广。
Objective: To investigate the clinical efficacy of laparoscopy and laparotomy for ectopic pregnancy. Methods: 190 cases of ectopic pregnancy were selected and divided into laparoscopic operation group (n = 71) and laparotomy group (n = 119) according to the operation method. Observe the amount of operation bleeding, operation time, postoperative fever, postoperative ambulation time, postoperative gastrointestinal function recovery, postoperative analgesia, postoperative infection and persistent ectopic pregnancy and postoperative hospitalization. Results The mean blood loss, the disappearance of postoperative abdominal pain, postoperative fever, antibiotic use time, intestinal function recovery time, hospitalization time and complication rate were significantly less in laparoscopic group than in open group, with significant difference Significance (p <0.05). And the two groups of complications were the infection in the separation process, organ damage, persistent tubal pregnancy (PEP) and bloating. Conclusion: Compared with open surgery, laparoscopic surgery with clinical efficacy, low blood loss, recovery time and hospitalization time is short, the incidence of complications is low, worthy of clinical promotion.