腹腔镜与开腹手术治疗异位妊娠的临床疗效比较

Comparison of the Clinical Effect of Laparoscopic Surgery and Open Surgery in the Treatment of Ectopic Pregnancy

目的对比异位妊娠患者采用开腹手术与腹腔镜手术进行治疗的临床疗效。方法将2011年10月—2016年10月在本院进行治疗的60例异位妊娠患者当成研究对象,根据自愿原则,将患者分为对照与观察两组,对照组患者采用开腹手术进行治疗,观察组患者采用腹腔镜手术进行治疗,对比两组患者的临床治疗效果。结果采用腹腔镜手术治疗的观察组手术出血量、排气时间、手术时间、感染率、平均住院时间显著优于采用开腹手术治疗的对照组,比较差异值P<0.05,均有统计学意义;两组的治愈率比较基本无差异,无统计学意义。结论开腹手术与腹腔镜手术治疗异位妊娠的效果均显著,但是腹腔镜手术的手术出血量少、排气时间、平均住院时间与手术时间短,感染率低。结论 :相对于开腹手术,腹腔镜手术具有诸多优势,在临床上具有良好的推广前景。

Objective to compare the clinical efficacy of open surgery and laparoscopic surgery in the treatment of ectopic pregnancy.Methods 60 cases of ectopic pregnancy treated in our hospital from October 2016 to October 2011 were selected as the research objects.According to the principle of voluntariness,the patients were divided into the control group and the observation group.The control group were treated by open surgery,and the observation group were treated by laparoscopic surgery,then the thesis compared the clinical treatment effect of the patients of these two groups.Results In respect of bleeding volume,operation time,exhaust time,infection rate,average hospitalization time, the observation group of laparoscopic surgery wassignificantly better than the control group using open surgery,and the difference value of P was less than 0.05,whichwas of statistical significance; the cure rate of these two groups basically had no difference,which was of no statistical significance. Conclusion In the treatment of ectopic pregnancy,the results of open surgery and laparoscopic surgery were both effective, but the amount of bleeding during laparoscopic surgery was low,the exhaust time, the average length of hospital stay and the operation time were short,and the infection rate was low. Experience:Compared with open surgery,laparoscopic surgery has many advantages,and proves practical value in clinical practice.