腹腔镜与开腹手术治疗100例宫外孕对比分析

Laparoscopic and Open Surgery for Comparative Analysis of 100 Cases of Ectopic Pregnancy

目的比较腹腔镜与开腹手术在宫外孕治疗中的优劣。方法应用回顾性分析的方法,对自治区人民医院分院妇产科治疗的宫外孕患者进行腹腔镜或开腹手术的术前一般情况及术后妊娠情况进行分析。结果行腹腔镜手术组与开腹手术组对比:S(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)腹腔镜手术组时间(61±20)min,开腹组(85±27)min,腹腔镜组平均手术时间明显短于开腹组(P<0.01);(3)腹腔镜组平均出血量(170±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);(4)腹腔镜组住院日数(3.3±1.2)d,开腹组(5.2±1.1)d,前者明显少于后者(P<0.05);(5)2组术后宫内妊娠率与异位妊娠率差异无统计学意义(P>0.0.5)。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 laparoscopic and open surgery in the treatment of ectopic pregnancy is good or bad.Methods Retrospective analysis of the regional People s Hospital of Obstetrics and Gynecology Branch of the treatment of ectopic pregnancy in patients with laparoscopic or open surgery generally preoperative and postoperative analysis of pregnancy.Results The laparoscopic surgery group compared with the laparotomy group：（1）Age,production times and at pre-operative blood progesterone-β-HCG level was no significant difference（P〉0.05）;（2）,time for laparoscopic surgery group（61± 20）min,open group（85±27）rain,mean operative time of laparoscopic group was shorter than in laparotomy group（P〈0.01）;（3）,The average amount of bleeding laparoscopic group （170± 113. 72）mL,open The average amount of bleeding group（689.75 ± 243.00）mL,the latter significantly lower than the former（P〈0.001）l （4）Days laparoscopic group（3.3 ± 1.2）d,open group（5.2±1.1）d,the former significantly leas in the latter（P〈0.05）;（5）Two groups of postoperative inh＇a--uterine pregnancy and ectopic pregnancy rate was no significant difference（P〉0.0.5）.Conclusion The safety of laparoscopic surgery for ectopic pregnancy, bleeding less than open surgery, the patients benefit.