摘要
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.
出处
《中国妇幼保健》
CAS
北大核心
2007年第17期2399-2400,共2页
Maternal and Child Health Care of China
关键词
外科手术
腹腔镜
异位妊娠
Surgical procedures
Laparoscopy
Ectopic pregnancy