腹腔镜与开腹手术治疗异位妊娠的临床效果对照

Clinical comparison on effect between laparoscopy and abdominal surgery in treatment of ectopic pregnancy

目的:探讨腹腔镜在异位妊娠手术中的临床应用价值。方法:回顾性分析440例异位妊娠手术患者的临床资料,其中腹腔镜组240例,开腹组200例,比较2组手术效果和术后恢复情况。结果:腹腔镜组和开腹组的手术时间分别为(44.34±15.24)min,(68.76±14.36)min;术中出血量分别为(20.12±8.45)ml,(57.19±24.32)ml,两组相比具有统计学意义(P<0.05);下床活动时间分别为(5.71±2.18)h,(24.23±3.39)h;排气时间分别为(8.23±2.45)h,(26.32±10.34)h,两组比较差异显著(P<0.05);腹腔镜组患者术后康复快,对手术效果满意。结论:腹腔镜异位妊娠手术比开腹手术效果好,其手术创伤小,康复快,是值得推广应用的微创术式。

Objective： To evaluate the clinic value of laparoscopy in ectopic pregnancy. Methods： 244 cases treated by laparoscopy （240 cases ）, abdominal （200 cases ） were retrospectively analyzed. Effects of operation and recovery of two groups were compared. Results： There was significant difference in operatin time and blood loss during operation between laparoscopy （44. 34 ± 15. 24） min, （20. 12±8. 45） ml, and abdominal （68. 76 ±14. 36） min, （57. 19±24. 32） ml. The activity time and the mean recovery time of bowel function in the former （5. 71 ±2. 18） h, （8. 23 ±2. 45） h were shorter than those in the latter group （24. 23 ± 3. 39） h, （26. 32 ± 10. 34） （P 〈 0. 05）. The former group was rapid recovery and more satisfaction of the effect of operation. Conclusion： Laparoscopic ectopic pregnancy can be performed in selected patients with minimum operative injury, has good short - time effect compared with abdominal operation.