异位妊娠腹腔镜保守治疗的临床研究

Study of conservative treatment of ectopic pregnancy with laparoscopic

目的应用腹腔镜技术对于异位妊娠患者进行治疗,并与开腹手术治疗进行比较,评价其临床价值。方法对于2009年1月~2011年6月在笔者所在医院进行治疗的76例异位妊娠患者,按照随机分组的方式分为腹腔镜组和开腹手术组,观察两组患者术中及术后的情况。结果腹腔镜组患者的手术时间及术中出血量均少于开腹手术组患者,两组间差异具有统计学意义（P〈0.05）;腹腔镜组患者的术后恢复时间（肛门排气时间、住院时间、疼痛消失时间）短于开腹手术组患者,两组间差异具有统计学意义（P〈0.05）。结论采用腹腔镜对异位妊娠患者进行治疗其临床效果较好,安全性高,具有很好的临床应用价值。

Objective To investigate the clinical course of patients with ectopic pregnancy laparoscopic treatment,and to evaluate the clinical value. Methods There were 76 patients who were treated at our hospital from January 2009 to June 2011, 76 cases of ectopic pregnancy in patients randomized into the laparoscopic group and laparotomy group, to observe the two groups of patients with surgery and postoperative situation. Results The operative time for laparoscopic patients and intraoperative heavy bleeding volume were less than the open surgery group patients, the difference between the two groups was statistically significant （P 0.05）; laparoscopic group of patients with postoperative recovery （anal exhaust time, hospital stay, pain disappearance time） were shorter than the open surgery group patients, the difference between the two groups was statistically significant （P 0.05）. Conclusion The laparoscopic treatment has better clinical effect on patients with ectopic pregnancy, safe, has good clinical value.