论文部分内容阅读
目的探讨急诊腹腔镜下手术治疗异位妊娠合并失血性休克的安全性与可行性。方法选择在东莞市长安医院2010年2月-2011年2月急诊异位妊娠合并失血性休克患者138例,采用腹腔镜手术治疗异位妊娠合并失血性休克的患者68例作为研究组,把同期行开腹手术治疗的70例患者作为对照组,观察分析两组患者围手术期的情况。结果两组患者手术均获成功,没有并发症发生。研究组在围手术期手术所需的时间、肛门的排气时间以及住院时间均明显短于对照组(P<0.05)。研究组的输卵管切除术比率明显低于对照组(P<0.05)、输卵管切开取胚术比率明显高于对照组(P<0.05)。结论在急诊手术治疗异位妊娠合并失血性休克方面,采取腹腔镜下手术治疗的办法是安全可行的,值得临床推广。
Objective To investigate the safety and feasibility of emergency laparoscopic surgery for hemorrhagic shock in patients with ectopic pregnancy. METHODS: A total of 138 patients with acute ectopic pregnancy and hemorrhagic shock were enrolled in Chang’an Hospital of Dongguan City from February 2010 to February 2011. Sixty-eight patients undergoing laparoscopic surgery for hemorrhagic shock with ectopic pregnancy were enrolled in this study. 70 patients undergoing laparotomy as control group, observed and analyzed the perioperative situation of two groups of patients. Results Two groups of patients were operated successfully, no complications occurred. The duration of perioperative surgery, anus exhaust time, and hospital stay in the study group were significantly shorter than those in the control group (P <0.05). The rate of tubal resection in the study group was significantly lower than that in the control group (P <0.05). The rate of tubal embryo retrieval and embryo implantation was significantly higher than that of the control group (P <0.05). Conclusion In the emergency surgery for the treatment of ectopic pregnancy combined with hemorrhagic shock, laparoscopic surgery is safe and feasible, worthy of clinical promotion.