两种手术方式治疗异位妊娠152例疗效分析

Clinical Analysis of Ectopic Pregnancy Treated by Two Kinds of Operation

目的:探讨应用腹腔镜手术治疗异位妊娠疗效。方法:将2003年4月至2006年4月住院治疗152例异位妊娠患者,分为腹腔镜手术组和剖腹手术组,对比观察两组手术效果及手术并发症等。结果:腹腔镜手术组手术时间较剖腹手术组短(P<0.05)。腹腔镜手术组术中出血量、肛门排气时间、术后平均住院日及术后发热、感染、镇痛剂(泵)使用例数均明显少于剖腹手术组(P<0.01)。结论:腹腔镜对机体内外环境干扰少,腹腔镜手术组术中出血量少,术后恢复快,适于临床应用。

Objective：To investigate the effect of laparoscopy in treating ectopic pregnancy. Methods： 152 patients with ectopic pregnancy from April 2003 to April 2006, were randomly divided into laparoscopy group and laparotomy group. The results were compared between the 2 groups. Results：The operative time of laparoscopy group was less than that of laparotomy group（ P 〈 0.05 ）. And the amount of bleeding, the period of pass gas, the time of hospitalization after operation, the case of fever and analgesia drug needed were all significantly less than those of laparotomy group （P 〈 0.01 ）. Conclusions ：Laparoscopy is more suitable for the treatment of ectopic pregnancy due to it is less damage to human body .