腹腔镜手术治疗输卵管妊娠的临床分析

Clinical analysis of laparoscopic in treatment of tubal pregnancy

目的探讨腹腔镜治疗输卵管妊娠的临床应用价值。方法回顾性分析自2009年1月至2010年12月腹腔镜手术治疗28例输卵管妊娠及同期开腹手术治疗22例输卵管妊娠的临床资料,并对术中、术后情况进行对比分析。结果 28例患者手术均获成功,无1例中转开腹。腹腔镜组与开腹组比较患者的手术时间、术中出血量、术后肛门排气时间、术后活动时间、术后住院天数、均优于开腹组,两组差异有统计学意义(P<0.05)。结论腹腔镜治疗输卵管妊娠对腹腔干扰少、创伤小、术后恢复快,安全可靠,是输卵管妊娠首选的手术方式。

Objective To evaluate the clinical value of laparoscopic treatment of ectopic pregnancy.Methods A retrospective analysis of clinical data of our hospital from January 2009 to December 2010 laparoscopic surgical treatment of 28 cases of tubal pregnancy and earlier laparotomy treatment of 22 cases of tubal pregnancy,and postoperative conditions were analyzed.Results Totally 28 cases of laparoscopic surgery were successful,no one were converted to laparotomy.Group of patients with abdominal surgery time,blood loss,postoperative anal exhaust time,postoperative hospital stay,postoperative activity time were better than the laparotomy group,the difference was statistically significant（P0.05）.Conclusions Laparoscopic treatment of tubal pregnancy less interference of the abdominal cavity,trauma,rapid recovery,safety and reliability,is the preferred surgical method of tubal pregnancy.