腹腔镜和传统开腹手术治疗输卵管阻塞的比较

Comparison of fallopian tube obstruction treated by laparoscopy and traditional laparotomy

目的比较腹腔镜和传统开腹两种手术方式治疗输卵管阻塞的优缺点。方法将腹腔镜手术治疗输卵管阻塞19例与传统开腹手术28例术前、术中和术后的情况进行比较分析。结果两组在病史、术前输卵管阻塞情况等方面无显著差异;术后腹痛消失时间、排气时间、住院天数、输卵管通畅情况有显著差异。结论腹腔镜手术与传统开腹手术治疗输卵管阻塞所致不孕各有优缺点,腹腔镜手术不能完全取代传统开腹手术。

Objective To compare the shortcoming and excellence of fallopian tube obstruction treated by laparoscopy and traditional laparotomy.Methods 19 cases of fallopian tube obstruction treated by laparoscopy and 28 cases by traditional laparotomy were analyzed.Results There were no different on medical history,condition of fallopian tube obstruction between the two groups.There were different on the abdomen disappeared time,the time of urinary canal remained,the day in hospital and free movement condition of fallopian tube.Conclusion Laparoscopy and traditional laparotomy all have advantages and disadvantages.Laparoscopy cannot replace entirely.