腹腔镜手术与开腹手术治疗宫外孕临床效果对比分析

Comparison and analysis of clinical effect of laparoscopic surgery and laparotomy in the treatment of ectopic pregnancy

目的比较分析腹腔镜手术与开腹手术治疗宫外孕临床治疗效果。方法 48例宫外孕患者作为研究对象,随机分为对照组(8例)和观察组(40例)。对照组实施常规开腹手术治疗,观察组实施腹腔镜手术治疗。比较不同方法治疗宫外孕的临床效果。结果观察组的手术时间、术后排气时间以及下床时间均显著短于对照组,术中出血量和住院天数显著少于对照组,差异有统计学意义(P<0.05)。两组术后输卵管再通率比较差异无统计学意义(P>0.05)。经术后随访,对照组宫内妊娠、再次出现宫外孕患者分别为3、1例,观察组分别为37、1例。另外,对照组和观察组还分别有4、2例患者经随访未孕。两组宫内妊娠率比较差异有统计学意义(P<0.05)。结论与常规开腹手术治疗宫外孕进行比较,实施腹腔镜手术治疗在提高术后宫内妊娠率方面效果确切,具有微创的特点,且能够更好的促进患者的术后恢复。

Objective To compare and analyze the clinical treatment effect of laparoscopic surgery andlaparotomy in the treatment of ectopic pregnancy.Methods A total of48ectopic pregnancy patients as studysubjects were randomly divided into control group(8cases)and observation group(40cases).The control groupreceived conventional laparotomy for treatment,and the observation group received laparoscopic surgery fortreatment.Clinical effect was compared between two different methods in treating ectopic pregnancy.ResultsThe observation group had significantly shorter operation time,postoperative evacuation time and off-bed timethan the control group,and significantly less intraoperative bleeding volume and hospital stay time than the controlgroup.Their difference had statistical significance(P<0.05).Both groups had no statistically significant differencein postoperative rate of fallopian tubes(P>0.05).Postoperative follow-up showed that the control group had casesof uterine pregnancy and repeated ectopic pregnancy respectively as3and1case,which were37and1case inthe observation group.The control group and observation group respectively had4and2cases without pregnant infollow-up.Both groups had no statistically significant difference in uterine pregnancy rate(P<0.05).ConclusionCompared with conventional laparotomy for treating of ectopic pregnancy,laparoscopic surgery shows affirmativeeffect in increasing postoperative uterine pregnancy rate.It is minimally invasive,and it can preferably promotethe postoperative recovery of patients.