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目的:对比分析腹腔镜与开腹保留输卵管手术治疗输卵管妊娠的临床疗效。方法:收集我院2012年2月-2014年7月期间经腹腔镜治疗的35例输卵管妊娠患者设为研究组,另选同期的35例经保留输卵管手术治疗的输卵管妊娠患者设为对照组,观察两组患者的手术操作时间、术后肛门排气时间、住院时间、术中出血量、抗生素使用时间、镇痛剂使用量、住院费用等。结果:研究组患者的手术操作时间、术后肛门排气时间、住院时间明显短于对照组(P<0.05),术中出血量明显低于对照组(P<0.05),抗生素使用时间明显短于对照组(P<0.05),镇痛剂使用量显著低于对照组(P<0.05),住院费用明显少于对照组(P<0.05)。结论:对输卵管妊娠患者应用腹腔镜手术治疗可获得更好的临床疗效。
Objective: To compare the clinical efficacy of laparoscopic and open surgery for tubal surgery. Methods: 35 cases of tubal pregnancy treated by laparoscopy in our hospital from February 2012 to July 2014 were selected as study group. 35 cases of tubal pregnancy treated by retained tubal surgeries were selected as control group, The operation time, postoperative anal exhaust time, hospitalization time, intraoperative blood loss, antibiotic use time, analgesic dosage, hospitalization expense and so on were observed. Results: The operation time, anal exhaust time and hospitalization time in the study group were significantly shorter than those in the control group (P <0.05). The bleeding volume in the study group was significantly lower than that in the control group (P <0.05), and the antibiotic use time was significantly shorter In the control group (P <0.05), the amount of analgesic used was significantly lower than that of the control group (P <0.05), and the cost of hospitalization was significantly less than that of the control group (P <0.05). Conclusion: The application of laparoscopic surgery in patients with tubal pregnancy can get better clinical efficacy.