腹腔镜与开腹手术治疗输卵管异位妊娠对比分析

Comparison Between Laparoscopic Operation and Laparotomy for Treating Tubal Ectopic Pregnancy

【目的】探讨腹腔镜及开腹手术在输卵管异位妊娠中价值。【方法】收集2007年2月至2008年1月本院138例保留输卵管手术治疗的输卵管异位妊娠患者资料，分别对两种手术的手术时间、术中出血、术后肛门排气时间、开始下床活动时间、住院天数、术后输卵管再通率、术后正常妊娠率及术后再次异位妊娠率等指标进行比较。【结果】①手术中，腹腔镜手术组较开腹手术组手术时间短、术中出血少组较开腹手术组；②手术后，腹腔镜手术组较开腹手术组肛门排气旱、下床活动早及住院天数少；③术后随访，腹腔镜手术术后患侧输卵再通率及正常妊娠率高等优点。【结论】在保留输卵管手术方式中，腹腔镜手术治疗输卵管异位妊娠疗效优于传统开腹手术。

[Objective] To compare the efficacy of laparoscopic operation vs laparotomy for the treatment of tubal ectopic pregnancy. [Methods] The clinical data of 138 cases of tubal ectopic pregnancy who underwent the operation of fallopian tube in our hospital from January 2007 to February 2008 were collected. The opera- tion time, intraoperative bleeding, flatus/ime, the time of out-of-bed activity, hospital day, fallopian tuhe recanalization rate, normal pregnancy rate and repeated ectopic pregnancy rate after operation were compared between laparoscopic operation and laparotomy. [Results] During operation, laparoscopic operation had the ad- vantages such as shorter operation time and less intraoperative bleeding. After operation, laparoscopic operation had advantages such as the earlier anal exhaust and out-of-bed activity and fewer hospital days. During the follow up after operation, laparoscopic operation had higher fallopian tube recanalization rate and normal pregnancy rate. [Conclusion] Among the operations of fallopian tube, laparoscopie operation for the treatment of tubal ectopic pregnancy is superior to the traditional laparotomy.