腹腔镜手术和开腹手术治疗异位妊娠的比较

Comparison in the Treatment of Ectopic Pregnancy Between Laparoscopic Operation and Open Operation

目的:探讨腹腔镜手术在异位妊娠治疗中的临床应用价值。方法:将196例异位妊娠患者随机分为观察组和对照组各98例,观察组采用腹腔镜手术治疗,对照组采用传统开腹手术治疗。结果:观察组的手术时间、术中出血量、术后肛门排气时间、术后并发症及术后平均住院时间均少于对照组,保守性手术例数高于对照组,两组比较有显著性差异(P<0.01)。结论:腹腔镜手术治疗异位妊娠具有手术时间短、术中出血量少、术后并发症少、安全性高等优点,尤其适合需要保留生育功能的育龄妇女,值得临床推广。

Objective：To investigate the clinical value of laparoscopic surgery in the treatment of ectopic pregnancy.Methods：196 cases of ectopic pregnancy were randomly divided into observation group and control group,each 98 cases,the observation group were treated with laparoscopic surgery,the control group using traditional laparotomy.Results：The operative time,intraoperative blood loss,postoperative flatus,postoperative complications and postoperative hospital stay in the observation group were all less than those in the control group,the number of surgery is higher than that in the control group,with significant differences between the two groups（P0.01）.Conclusion：The laparoscopic surgery for ectopic pregnancy has a shorter operative time,less blood loss,fewer complications,high security and other advantages,especially suitable for the women to preserve fertility in childbearing age,itapos;s worthy of clinical promotion.