腹腔镜手术治疗异位妊娠68例的临床研究

Clinical investigation on 68 cases with ectopic pregnancy treated by laparoscopy

目的:研究腹腔镜手术治疗异位妊娠的优越性。方法:125例异位妊娠患者随机分为两组。腹腔镜组68例,采用气管插管+静脉全身麻醉,常规建立气腹,根据病情及患者需求等因素决定手术方式;开腹组57例,采用硬膜外麻醉,按常规开腹行输卵管切除术、输卵管开窗取胚术或卵巢胚胎切除术。结果:腹腔镜组顺利完成手术,两组患者的术中出血量、术后需镇痛例数、肛门排气时间、术后进食时间、住院时间及术后切口感染例数差异均有统计学意义(P<0.05)。结论:腹腔镜手术出血少、手术时间短、术后不需镇痛、术后病率低、肛门排气时间早、住院时间短、恢复快、术后妊娠率高,可作为治疗异位妊娠的首选术式。

Objective： To study the advantages of laparoscopy for ectopic pregnancy. Methods： 125 cases with ectopic pregnancy were divided into 2 groups randomly： laparoscopy group （68 cases） was treated by laparoscopy and celiotomy group （57 cases） was treated by routine surgery （open salpingectomy, salpingostomy or resection of ovarian embryo） . Results： The operation of laparoscopy group completed successful. There was significant difference in intraoperative blood loss, rate of analgesia after operation, anal exsufflation time, postoperative eating time, hospitalization days and rate of postoperative infection （ P 〈 0. 05 ） . Conclusion ： Laparoscopy has a lot of advantages, such as less bleeding during operation, shorter time of surgery, no analgesia needed after operation, earlier recovery of intestinal function, shorter hospitalization days, quicker recovery, less complications and higher pregnancy rate, which is the first choice for the surgery of ectopic pregnancy.