腹腔镜手术治疗异位妊娠临床分析

Clinical Analysis of Laparoscopic in Treatment of Ectopic Pregnancy

目的:观察腹腔镜手术治疗异位妊娠的临床疗效,评价其临床应用价值。方法:随机选择2009年1月至2010年12月间89例异位妊娠患者行腹腔镜手术者及89例开腹手术的异位妊娠患者,比较两组手术时间、出血量、并发症、术后住院时间及术后妊娠率等。结果:腹腔镜组术中出血量、术后镇痛药使用率等明显低于开腹组(P<0.05),术后肛门排气时间、住院时间明显短于开腹组(P<0.05)。腹腔镜组再次妊娠成功率为76.32%,开腹组为73.43%(P>0.05)。两组患者术后并发症、输卵管通畅率、持续性异位妊娠等差异有统计学意义(P<0.05)。结论:腹腔镜手术治疗异位妊娠安全有效,并发症少,可作为异位妊娠的首选术式予以推广。

Objective： To investigate the clinical effect of minially invasive laparoscopic in treatment of ectopic pregnancy,and assess the value in clinical application.Method： Analysis was made on the operative time,blood loss,complications,postoperative hospital stay and pregnancy after operation between 89 patients of ectopic pregnancy who underwent laparoscopic surgery and 89 patients with ectopic pregnancy who underwent laparotomy from Jan.2009 to Dec.2010.Result： The operative blood loss of laparoscopic group was significantly less than that of the laparotomy group（P0.05）,analexhaust time and hospital stay was significantly shorter than the laparotomy group（P0.05）.The successful pregnancy rate in laparoscopic group was 76.32%,while 73.43% in laparotomy group（P0.05）.Postoperative complications,tubapatency rate,persistent ectopic pregnancy and so on of 2 groups were significantly different（P0.05）.Conclusion： Laparoscopy is a safe and effective mimally invasive treatment for ectopic pregnancy,with fewer complications,which can be applied as the first operation choice for ectopic pregnancy and should be developed.