不同方法治疗输卵管妊娠效果分析

Effect of Different Methods for Treatment of Tubal Pregnancy

目的:比较腹腔镜手术与传统开腹手术对输卵管妊娠患者的影响。方法:入选247例患者,分为腔镜组和开腹组治疗,比较两组患者手术时间、术中出血量、术后肛门排气时间、下床时间以及总住院时间,并两组患者住院期间发生的并发症。结果:两组手术时间比差异无统计学意义(P>0.05),腔镜组术中出血明显少于开腹组(P<0.05),腔镜组术后肛门排气时间、术后下床时间以及总住院时间均明显短于开腹组(P<0.05),并发症方面腔镜组主要是皮下气肿和腹壁穿刺损伤,开腹组主要是伤口愈合不良。结论:腹腔镜治疗异位妊娠相对于传统开腹手术具有明显优势,手术创伤小,术后恢复快,是一种安全可行的方法。

Objective： To compare the laparoscopic surgery and conventional open surgery for tubal pregnancy patients.Method： 247 patients selected were divided into endoscopic treatment group and the laparotomy group,two groups were compared operative time,blood loss,anal exhaust time,ambulation time and hospital stay,and two groups of patients hospitalized during complications.Result： The operative time between the two groups has no significant difference（P〉0.05）.Blood loss in laparoscopy group was significantly less than that in the open group（P〈0.05）.Anal exhaust time,postoperative ambulation time and hospital stay in endoscopic group were significantly shorter than the open abdominal group（P〈0.05）,complications in laparoscopy group was mainly subcutaneous emphysema and abdominal puncture injuries,laparotomy group was mainly poor wound healing.Conclusion： Laparoscopic treatment of ectopic pregnancy compared with traditional open surgery has obvious advantages,surgical trauma,rapid recovery,safety,it is a safe and feasible method.