腹腔镜手术与开腹手术对治疗输卵管妊娠的疗效比较

Comparative Study on Curative Effects of Laparoscopic Surgery and Open Surgery on Tubal Pregnancy

目的比较初期开展腹腔镜手术与开腹手术治疗输卵管妊娠的疗效.方法分析76例输卵管妊娠的病例,腹腔镜手术32例,开腹手术44例,比较两组手术时间、术中出血量,术后病率,抗生素应用时间、术后住院天数、术后镇痛泵使用率及切口愈合情况.结果腹腔镜手术组术中出血量、术后应用止痛药、术后发热时间、术后住院时间、术后抗生素使用时间明显优于开腹手术组(P<0.05).结论在腹腔镜手术方面治疗输卵管妊娠优于开腹手术.

Objective To cmpare the curative effects of laparoscopic surgery and open surgical treatment on tubal pregnancy. Methods Among of 76 cases of tubal pregnancy, 32 cases received laparoscopic surgery, 44 cases received laparotomy. The surgical time, bleeding volume, postoperative morbidity, antibiotics application time, the number of days of postoperative hospitalization, postoperative analgesia pump usage, incision healing were compared between the two methods. Result The volume of blood loss, postoperative pain medication, postoperative fever, postoperative length of stay, postoperative use of antibiotics were significantly better in Laparoscopic surgery group than open surgery group. Conclusion The effect of laparoscopic surgery on tubal pregnancy is superior to open surgery.