腹腔镜手术与开腹手术治疗输卵管异位妊娠的比较

A Comparison between laparoscopic operation and abdomen incision operation in treatment of ectopic pregnancy

目的比较腹腔镜手术与开腹手术治疗输卵管异位妊娠的临床效果,探讨两种术式的临床应用价值。方法输卵管异位妊娠86例,停经33～76天,平均49天。其中37例在全身麻醉下行腹腔镜手术,49例在硬膜外麻下行开腹手术。结果两组手术均取得成功,腹腔镜手术组与开腹手术组的手术时间分别为53±12vs46±11min(P<0.05);止痛剂(曲马多)70±9vs140±8mg(P<0.05);术后住院时间4±0.5vs9±0.4天(P<0.05)。随访5～8个月,两组无并发症发生。结论与开放手术比较,腹腔镜手术治疗输卵管异位妊娠虽手术时间稍长,但手术创伤小、术后恢复快,对于已有一定腹腔镜经验的医院,可为首选术式。

Objective To compare the surgical outcome and investigate the clinic value between laparoscopic operation and abdomen incision operation in treatment of ectopic pregnancy. Methods 86 patients who had ectopic pregnancy with the menolipsis time from 33 days to 76 days were enrolled in this study. The mean time of menolipsis was 49 days.Of 86 cases, 37 patients underwent laparoscopic operation under trachea anaesthesia and 49 underwent abdomen incision operation under lumbar anesthesia. Results All the operations were successful.In the laparoscopic group and open group, the operations was respectively 53±12 vs 46±11 min （P〈0.05）;the dosage of analgesic（Tramal） was 70±9 vs 140±8 mg（P〈0.05） and hospital stay was 4±0.5 vs 9±0.4 day（P〈0.05）. No postoperation complications occurred in all cases during 5 months to 8 months follow-up. Conclusions Comparing with the open surgery,laparoscopy surgery is a time consuming operation ,but is a minimal invasive one and bear rapid postoperative rehabilitation.For hospitals with certain laparoscopy experience ,it may be the first line treatment for ectopic pregnancy.