摘要
目的比较腹腔镜与开腹手术治疗输卵管妊娠致腹腔内大出血的效果。方法回顾性分析2000年1月~2015年10月104例在普宁市妇幼保健院妇科住院、因输卵管妊娠致腹腔内大出血行手术治疗的患者的临床资料,其中66例行腹腔镜手术,38例行开腹手术,比较两组患者的治疗效果。结果腹腔镜组患者中原有3例因盆腔严重粘连、出血凶猛而中转开腹,其余均在腹腔镜下顺利完成,成功率为95.7%;两组均取得很好的临床疗效,无一例术中、术后并发症发生;与开腹组患者比较,腹腔镜组患者盆腹腔积血量明显较少.且手术时间明显较短(P均〈0.05),在术中出血量、输血量方面,两组比较差异无统计学意义(P均〉0.05);腹腔镜组患者术后肛门排气时间、术后首次下床时间均短于开腹组(P均〈0.05);两组出院时血红蛋白水平、住院天数比较差异无统计学意义(P均〉0.05)。结论与开腹手术比较,腹腔镜手术对腹腔内大出血的输卵管妊娠患者具有快速止血、手术时间短等优势,值得临床推广。
Objective To compare the effect of laparoscopy and laparotomy in the treatment of fallopian pregnancy induced intra-abdominal bleeding. Methods Clinical data of 104 patients who were hospitalized in Maternal and Child Health Care Hospital of Puning City and were given surgical treatment due to fallopian pregnancy induced intra-abdominal bleeding from January 2000 to October 2015 were retrospectively analyzed.66 patients were given laparoscopy and 38 patients were given laparotomy.Curative effects were compared between the two groups. Results 3 patients in the laparoscopy group were changed to laparotomy due to severe adhesion of pelvic cavity and unstoppable bleeding, and others were successfully completed under laparoseopy,with the successful rate of 95.7%;The clinical curative effects were favorable in the two groups,without complications during the surgery and after the surgery;Compared with the patients in the laparotomy group,the volume of bleeding in the pelvic cavity in the. patients in the laparoscopy group was significantly lower,and the surgery time was significantly shorter (all P〈0.05).In terms of volume of bleeding during surgery and volume of blood transfusion,there were no differences between the two groups of patients (all P〈0.05);Time of postoperative passage of gas and postoperative first off-bed activity in the patients in the laparoseopy group was better than that in the laparotomy group respectively (all P〈0.05);In terms of level of hemoglobin and length of stay upon discharge,there was no significant differences between the two groups of patients respectively (all P〈0.05). Conclusion Compared with laparotomy,laparoscopy has the advantages of fast hemostasis and short surgery time for the patients with fallopian pregnancy induced intra-abdominal bleeding,which is worthy of clinical promotion.
出处
《中国当代医药》
2016年第8期81-83,共3页
China Modern Medicine