腹腔镜手术与开腹手术治疗宫外孕临床效果研究

Clinical efficacy of laparoscopic surgery and open surgery in treatment of ectopic pregnancy

目的研究与探讨腹腔镜手术与开腹手术治疗宫外孕临床效果。方法回顾性分析我院2011年5月～2012年3月收治的128例宫外孕患者的临床资料,比较腹腔镜手术(n=71)与开腹手术(n=57)的手术时间、术中出血量、肛门排气时间、留置尿管时间、住院时间及并发症发生情况。结果腹腔镜组手术效果明显优于开腹组,其手术时间较开腹组明显缩短,术中出血量明显减少,肛门排气时间、留置尿管时间和住院时间显著缩短,并发症明显减少,两组比较差异有统计学意义(P<0.05)。结论腹腔镜手术治疗宫外孕具有手术时间短、术中出血少、术后恢复快、并发症少、美容效果好等优点,可作为临床宫外孕治疗的首选术式。

Objective To research and discuss laparoscopic surgery and open surgery treatment ectopic pregnancy clinical effect. Methods Our review in May 2011 to March 2012 of 128 cases of eetopic pregnancy were patient data, more laparo- scopic surgery （n = 71） and open surgery （n = 57） operation time, intraoperative amount of bleeding, anal exhaust time, uri- nary catheter time, length of hospital stay, and complications of situation. Results Laparoseopic surgery group effect is su- perior to that open group, its operation time is open group significantly shortened, intraoperative bleeding can significantly reduce, anal exhaust time, urinary catheter time in hospital and the time was significantly shortened, complication signifi- cantly reduced, two groups have significant difference, there is statistical significance （P 〈 0.05）. Conclusion Laparoscopic surgery treatment of ectopic pregnancy with shorter operation time, intraoperative less bleeding and postoperative quick re- covery, fewer complications, beauty effect is good wait for an advantage, can be used as ectopic pregnancy operation treat- ment of first choice.