腹腔镜手术与剖腹手术在异位妊娠治疗中的效果观察

The effect of Operative Laparoscopy and Laparotomy in ectopic Pregnancy treatment

目的：比较腹腔镜手术与剖腹手术在异位妊娠治疗中的效果。方法：经临床确诊的异位妊娠住院病例98例，随机分入腹腔镜手术组47例、剖腹手术组51例，记录术前病史、术中情况、住院时间，观察术后恢复情况。结果：腹腔镜手术组手术时间、术中出血明显少于剖腹手术组（53士23min比69士28min，25土23ml比67＋34ml，P〈O．01），静脉用抗生素时间、肛门排气时间、住院时间明显短于剖腹手术组（分别为1．56士1．44天比3．27士1．73天，1．07士O．43天比2．06士0．44天，3．72士3．03天比6．15土2．43天，P〈O．01）。结论：异位妊娠患者选用腹腔镜手术优于剖腹手术。

Objective：To investigate the effect of ectopic pregnancy between operative laparoscopy and laparotomy. Methods： 98 cases of ectopic pregnancy who had been diagnosed by clinical were randomly divided into operative laparoscopy group（47 cases）and laparotomy group（51 cases）; Their preoperative history,detection in operation, time of hospital stay were recorded. The postoperative recovery was observed. Re--examination was done in postoperation. Results：Operation time and bleeding in opration in operative laparoscopy group were fewer than in laparotomy group（53 4士23 vs 69士28 min,25士23ml vs 67士34 ml,P〈0.01）. The antibiotic time,functional recover time of bowel and hospital stays in operative laparoscopy group were shorter than in taparotomy group（1.56士1.44day vs 3.27士1.73 day,1.07士0.43 day vs 2.06士0.44 day,3. 72士3.03 day vs 6.15士2. 43 day, P〈0.01）. Conclusions：The new mode of laparoscopic surgery is superior to laparotomy in the treatment of ectopic pregnancy