腹腔镜手术与开腹手术治疗宫外孕的临床比较研究

Comparison of clinical effect for for the patients with ectopic pregnancy by laparoscopic operation or open operation

目的比较腹腔镜手术与开腹手术治疗宫外孕的临床效果。方法按照随机数字表法将88例宫外孕患者均分为观察组和对照组,各44例,观察组采取腹腔镜手术治疗,对照组采取开腹手术治疗,比较两组手术效果。结果观察组患者手术时间、术中出血量、术后肛门排气时间、术后留置尿管时间、术后腹痛消失时间、术后住院时间均显著低于对照组,差异有统计学意义(P<0.05);观察组患者术后并发症发生率显著低于对照组,差异有统计学意义(P<0.05);两组患者术后妊娠情况对比,差异无统计学意义。结论腹腔镜手术治疗宫外孕创伤小、并发症少、术后恢复快,值得临床推荐。

Objective To explore the comparison of clinical effect for for the patients with ectopic pregnancy by laparoscopic operation or open operation.Methods88cases of patients with ectopic pregnancy were randomly divided into observation group(44cases)and control group(44cases).The observation group were treated by laparoscopic operation and the control group were treated by open operation.The clinical effect were observed.Results The levels of operative time,intraoperative blood loss,exsufflation through anus time after operation,inurethral catheter time after operation,abdominal pain disappear time after operation,hospital stays after operation for the observation group were lower than the control group(P<0.05);The rate of complication after operation for the observation group were lower than the control group(P<0.05);There was no significant difference on the pregnancies for the two groups.Conclusion It has few trauma and complication,faster postoperative recover for the patients with ectopic pregnancy by laparoscopic operation.It worse to recommend.