腹腔镜与开腹手术治疗200例宫外孕对比分析

Comparison Analysis on Laparoscopy Operation and Laparotomy for Ectopic Pregnancy:a Report of 200 Cases

目的比较宫外孕腹腔镜与开腹手术的优劣。方法应用回顾性分析的方法,对河南鹤壁煤业集团总医院妇产科200例宫外孕(输卵管妊娠)行腹腔镜或开腹手术患者的术前一般情况,术中及术后妊娠情况进行分析。结果行腹腔镜手术组与行开腹手术组对比:①年龄、产次、孕次、术前血β-HCG水平差异无统计学意义(P>0.05);②腹腔镜组手术时间(61±20)min,开腹组为(85±27)min,腹腔镜组平均手术时间明显短于开腹组(P<0.01);腹腔镜组平均出血量(170.45±113.72)ml,开腹组平均出血量(689.75±243.00)ml,前者明显少于后者(P<0.001);腹腔镜组住院日(3.3±1.2)d,开腹组为(5.2±1.6)d,前者少于后者(P<0.05);③2组术后宫内妊娠率及异位妊娠率差异无统计学意义(P>0.05)。结论腹腔镜手术治疗宫外孕安全,出血量较开腹手术少,对患者康复有益。

Objective To compare the effects of laparoscopy operation and laparotomy in patients with ectopic pregnancy. Methods The preoperative general status ,operations result and future fertility outcome of 200 cases of ectopic pregnancies undergoing laparoscopy operation or laparotomy were analyzed retrospectively. Results Laparoscopy operation group vs laparotomy group： no difference was found in age,parity and preoperative serum β-HCG levels（ P 〉 0.05 ） ; total blood loss [ （ 170.45 ± 113.72 ） ml vs （689.75 ± 243.00 ） ml, P 〈 0. 001 ] reduce significantly, total operating time [ （ 61 ± 20 ） min vs （ 85 ± 27 ） min, P 〈 0.01 ] and duration of hospitalization [ （3.3 ± 1.2） d vs （ 5.2 ± 1.6 ） d, P 〈 0.05 ] were shorted. There was no significant difference in the fertility outcome （ P 〉 0.05 ）. Conclusions Laparoscopfc treatment of ectopic pregnancy is a safe operation method with less blood loss,and is promotive to the convalescence of patients.