腹腔镜治疗异位妊娠的效果分析

An analysis of the effect of laparoscope in the treatment of ectopic pregnancy

目的探讨腹腔镜治疗异位妊娠的临床效果。方法选取2011年1月～2013年12月我院收治的89例孕囊未破裂的异位妊娠患者作为研究对象，根据患者的意愿选择治疗方案，其中选择腹腔镜治疗的有63例，选择开腹手术的有26例，对比分析两组患者手术时间、术中出血量、平均住院时间和术后肛门排气时间。结果研究组手术时间（52．2±11．4）min，对照组为（60．1±15．7）min；研究组术中出血量为（23．8±17．0）mL，对照组出血量较大（44．5±23．8）mL；研究组的平均住院时间较短，为（4．4±1．5）d，而对照组有（5．7±1．8）d，研究组的术后肛门排气时间为（16．9±6．2）h，对照组（27．8±12．1）h，两组比较差异均有统计学意义（P〈0．01）。结论腹腔镜治疗异位妊娠疗效显著，且高于传统开腹手术，适合在基层医院广泛推广。

Objective To explore the clinical effect of laparoscope in the treatment of ectopic pregnancy. Methods 89 patients with ectopic pregnancy and unruptured gestational sacs who were admitted to our hospital from January 2011 to December 2013 were selected as research subjects. Treatment regimens were chosen depending on patients＇ free wills,in which 63 patients chose laparoscope and 26 patients chose laparotomy. Operation time,the amount of bleeding during operation,average hospitalization time and time of postoperative passage of gas between the two groups were compared and analyzed. Results Operation time was （52.2 ± 11.4）min in the research group,and （60.1 ± 15.7） min in the control group;the amount of bleeding during operation was （23.8 ± 17.0）mL in the research group, and （44.5 ± 23.8）mL in the control group, relatively larger; average hospitalization time in the research group was （4.4 ± 1.5） days,relatively shorter, and （5.7± 1.8）days in the control group;time of postoperative passage of gas was （16.9 ± 6.2） h in the research group,and （27.8 ± 12.1）h in the control group. The differences were all statistically significant （P 〈 0.01）. Conclusion Laparoscope in the treatment of ectopic pregnancy has a significant effect and is better than the conventional laparotomy. It is therefore suitable for widespread promotion in primary hospitals.