腹腔镜与开放手术治疗输卵管异位妊娠的临床比较

Comparison Between Laparoscopic and Open Surgery in Treating Ectopic Oviduct Pregnancy

目的比较腹腔镜与开放手术治疗输卵管异位妊娠的临床效果,探讨腹腔镜手术的临床价值.方法回顾性分析云南省第一人民医院自2009年6月至2013年3月收治的246例输卵管异位妊娠患者,其中腹腔镜手术组134例,开放手术组112例.比较两组患者手术时间、术中失血量、止痛药的使用等指标.结果两组手术均取得成功,腹腔镜组患者在手术时间、出血量、止痛药的使用、住院时间等方面优于开放手术组(P<0.05).结论与开放手术比较,腹腔镜手术治疗输卵管异位妊娠具有创伤小、术后恢复快等优势,为治疗输卵管异位妊娠的首选治疗方案.

Objective To compare the surgical outcomes between laparoscopic and open surgeries in treatment of ectopic oviduct pregnancy, and investigate the clinical value of laparoscopic surgery. Methods Two hundred and forty-six patients with ectopic oviduct pregnancy in our hospital from June 2009 to March 2013 were retrospectively analyzed. 134 cases were treated with laparoscopie operation and 112 with open surgery. Some parameters such as operative time, blood loss, usage of pain-killer, hospital stay were compared between both groups. Results All operations were successful. Laparoseopic surgery was shown to be superior to open operation in the parameters of operative time, blood loss, usage of pain-killer and hospital stay （P 〈 0.05） . Conclusion Compared with open operation, aparoscopie surgery has the advantages of less trauma and rapid postoperative rehabilitation. It may become the first line treatment for eetopie oviduct pregnancy.