腹腔镜手术与开腹手术治疗输卵管妊娠35例疗效比较

The Comparaiton of Laparoscopic Surgery and Open Surgery for 35 Patients with Tubal Pregnancy

目的评价腹腔镜手术与开腹手术治疗输卵管妊娠的临床疗效。方法选择我院2008年1月～2010年1月住院治疗的输卵管妊娠患者70例,随机分为腹腔镜手术组(A组)和开腹手术组(B组)各35例,比较两组的平均手术时间、术中出血量、术后排气时间及切口感染情况。结果与B组比较,A组平均手术时间明显缩短,术中出血量明显减少,术后排气时间明显短于A组,术后A组仅1例发生切口感染,而B组切口感染的发生率明显高于A组,术后A组住院时间明显短于B组(P<0.05)。结论腹腔镜手术治疗输卵管妊娠患者创伤小、痛苦少,手术时间短、术后恢复快,手术疗效优于传统开腹手术,值得临床广泛推广应用。

Objective To evaluate the laparoscopic surgery and open surgery treatment tubal pregnancy. Methods 70 cases with tubal pregnancy were divided into laparoscopic surgery group （A group） and the open surgery group（B group） from January 2008 ~ January 2010 in our hospital,and to compare the average operation time,blood loss,postoperative wound infection exhaust time and situation. Results Compared with the B group,the average operation time of A group was shortened significantly. The blood loss and postoperative discharge time was significantly shorter than group A,A group only 1 case of wound infection,wound infection of B group significantly higher than that of A group,A group of hospital stay after surgery was significantly shorter than B group（P0.05）. Conclusion Laparoscopic surgery for tubal pregnancy in patients with trauma,less pain,shorter operative time,rapid postoperative recovery, surgery more effective than traditional open surgery and is worthy of wide application.