观察腹腔镜手术治疗异位妊娠的临床价值

Observation on clinical value of laparoscopic surgery in the treatment of ectopic pregnancy

目的探讨腹腔镜手术治疗异位妊娠的临床效果。方法 80例异位妊娠患者,随机分成对照组和观察组,各40例。对照组采用传统开腹手术,观察组采用腹腔镜手术,比较两组手术效果。结果两组手术时间比较差异无统计学意义(P>0.05);观察组出血量少于对照组,留置导尿管、下床活动、疼痛持续、肛门排气及住院时间均短于对照组,差异均有统计学意义(P<0.05)。观察组16例保留患侧输卵管,术后1个月检查14例复通,占87.5%;1年内12例妊娠,占75.0%。对照组7例保留患侧输卵管,3例复通,占42.9%;1年内2例妊娠,占28.6%。观察组复通率及妊娠率高于对照组,差异有统计学意义(χ~2=5.03、4.41,P<0.05)。结论腹腔镜手术治疗异位妊娠临床价值较高,有推广价值。

Objective To explore the clinical effect of laparoscopic surgery in the treatment of ectopic pregnancy.Methods A total of80ectopic pregnancy patients were randomly divided into control group and observation group,with40cases in each group.The control group received traditional laparotomy,and the observation group received laparoscopic surgery.Surgical effect was compared in two groups.Results Both groups had no statistically significant difference in operation time(P>0.05).The observation group had less bleeding volume than the control group,and shorter indwelling catheter,off-bed activity,constant pain,anal exhaust and hospital stay time than the control group.Their difference had statistical significance(P<0.05).The observation group had16reserving affected side oviduct cases,14recanalization cases in postoperative1month examination,accounting for87.5%,and12pregnancy cases in a year,accounting for75.0%.The control group had7reserving affected side oviduct cases,3recanalization cases,accounting for42.9%,and2pregnancy cases in a year,accounting for28.6%.The observation group had higher recanalization rate and pregnancy rate than the control group,and the difference had statistical significance(χ2=5.03,4.41,P<0.05).Conclusion Laparoscopic surgery shows high clinical value in the treatment of ectopic pregnancy,and it has promotional value.