腹腔镜与开腹手术治疗宫外孕的疗效及对术后受孕率的影响分析

Laparoscopic and Open Surgery for Ectopic Pregnancy and Its Effect on Postoperative Pregnancy

目的探讨腹腔镜与开腹手术治疗宫外孕的疗效及对术后受孕率的影响。方法抽取该院于2015年6月—2017年3月收治的宫外孕患者共98例,数字随机分组法随机分为观察组与对照组,给予对照组开腹手术治疗,给予观察组腹腔镜手术治疗。比较2组患者的手术时间、术中出血量、术后排气时间、住院时间及术后受孕率。结果观察组患者手术时间、术后排气时间及住院时间分别为(55.42±4.93)min、(11.67±2.78)min、(5.36±1.25)min,均显著短于对照组的(79.15±7.26)min、(23.97±3.54)min、(8.94±2.36)min,术中出血量为(37.35±6.91)m L,显著低于对照组的(72.45±7.32)m L,对比均差异有统计学意义(t=18.928、24.408、19.129、9.384,P<0.05);术后受孕率为83.7%,显著高于对照组的65.3%,对比差异有统计学意义(χ~2=4.640、0.154、4.350、4.350,P<0.05)。结论相较开腹手术而言,腹腔镜手术可以显著缩短患者手术时间、术后排气时间及住院时间,降低术中出血量,提高术后受孕率,值得临床推广使用。

Objective This paper tries to investigate the effect of laparoseopy and laparotomy in the treatment of ee- topic pregnancy and its effect on the rate of postoperatively. Methods A total of 98 cases of ectopic pregnancy patients admitted to this hospital from June 2015 to March 2017 were randomly allocated to observation group and control group. The control group was given open surgery and the observation group was given laparoscopic surgery. The opera- tive time, intraoperative blood loss, postoperative venting time, hospital stay, and postoperative pregnancy rate were compared between the two groups. Results The operative time, postoperative venting time, and length of stay in the ob- servation group were （55.42±4.93）nfin,（11.67±2.78）nfin, （5.36±1.25）nfin, respectively, which were significantly shorter than those in the control group （79.15±7.26）min, （23.97±3.54）nfin,（8.94±2.36） rain, the intraoperative blood loss was （37.35±6.91）mL, which was significantly lower than the control group （72.45±7.32）mL, the comparison was statistically significant（t=18.924, 24.408, 19.129, 9.384, P〈0.05）; postoperative pregnancy rate was 83.7%, significantly higher than the control group 65.3%, the comparison was statistically significant （X2=4.640, 0.154, 4.350, 4.350, P〈0.05）. Conclu- sion Compared with laparotomy, laparoscopic surgery can significantly shorten the patient＇s operative time, postopera- tive exhaust time and hospital stay, reduce intraoperative blood loss, improve postoperative pregnancy rate, and is wor- thy of clinical use.