腹腔镜治疗宫角异位妊娠的临床评价

Effect Clinical Evaluation of Laparoscope Therapy for Cornual Ectopic Pregnancy

目的观察腹腔镜治疗宫角异位妊娠的临床预后。方法选取苏州市立医院北区妇产科2009年10月至2014年10月的80例异位妊娠患者,按照患者自愿选择的手术方式分为试验组和对照组,试验组(42例)行腹腔镜手术,对照组(38例)行传统开腹手术,比较两组出血量、术后排气、住院时间等3项指标。结果试验组出血量、术后肛门排气时间、住院天数与对照组相比,差异有统计学意义(P<0.05)。结论腹腔镜手术治疗宫角异位妊娠创伤小、手术时间短、术后恢复快,应在临床上进一步得到推广。

Objective TTo observe clinical effects on cornual ectopic pregnancy by the laparoscopic surgical treatment. Methods 80 cases of cornual ectopic pregnancy in patients from october 2009 to October 2014 were divided into two groups,including 42 cases of the laparoscopic surgery and 38 cases of open surgery.The two groups were compared with blood loss,postoperative anal exhaust time and hospitalization time. Results Compared with open surgery group,the conditions of patients in the laparoscopic group were better improved in the hospitalization time,blood loss,and postoperative anal exhaust time（P〈0.05）. Conclusion Compared to the conventional open surgery,laparoscopic surgery reduces the suffering of patients,shortens the operation time,recover rapidly,and should be further promoted in clinical practice.