腹腔镜手术治疗异位妊娠的临床效果及安全性

Clinical effect and safety of the 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及安全性。方法选取2012年2月～2018年2月我院收治的60例异位妊娠患者作为研究对象,按照随机数字表法将其分成治疗1组(30例)与治疗2组(30例)。治疗1组患者采用腹腔镜手术,治疗2组患者采用常规开腹手术。比较两组患者的恢复情况[住院时间、血人绒毛膜促性腺激素(β-HCG)恢复时间、月经恢复时间]、输卵管通畅率、治愈率、并发症发生率及围术期疗效(手术时间、术中出血量、术后肛门排气时间)。结果治疗1组患者的住院时间、血β-HCG恢复时间及月经恢复时间均显著短于治疗2组,差异有统计学意义(P<0.05)。治疗1组患者的输卵管通畅率、治愈率均高于治疗2组,并发症发生率低于治疗2组,差异有统计学意义(P<0.05)。治疗1组患者的手术时间、术后肛门排气时间均短于治疗2组,术中出血量少于治疗2组,差异有统计学意义(P<0.05)。结论腹腔镜手术应用于异位妊娠,能提升患者的输卵管通畅率、治愈率,能缩短住院时间、血β-HCG恢复正常时间、月经恢复时间,安全可靠,并发症少,此方法值得应用与推广。

Objective To investigate the clinical effect and safety of laparoscopic surgery in the treatment of ectopic pregnancy.Methods A total of 60 patients with ectopic pregnancy treated in our hospital from February 2012 to February 2018 were selected as research objects.They were divided into the treatment group 1(30 cases)and the treatment group 2(30 cases)according to the random number table method.Patients in the treatment group 1 underwent laparoscopic surgery,and patients in the treatment group 2 underwent conventional laparotomy.The recovery conditions(hospitalization time,recovery time of blood human chorionic gonadotropin[β-HCG],recovery time of menstruation),tubal patency rate,cure rate,complication rate and perioperative efficacy(operative time,intraoperative blood loss,postoperative anal exhaust time)were compared between the two groups.Results The hospitalization time,recovery time of bloodβ-HCG and recovery time of menstruation in the treatment group 1 were significantly shorter than those in the treatment group 2,and the differences were statistically significant(P<0.05).The tubal patency rate and cure rate of the patients in the treatment group 1 were higher than those in the treatment group 2,the complication rate was lower than that in the treatment group 2,and the differences were statistically significant(P<0.05).The operation time and postoperative anal exhaust time in the treatment group 1 were shorter than those in the treatment group 2,the intraoperative blood loss was less than that in the treatment group 2,and the differences were statistically significant(P<0.05).Conclusion Laparoscopic surgery applied to ectopic pregnancy can improve the patients′tubal patency rate,cure rate,shorten hospitalization time,bloodβ-HCG recovery time and menstrual recovery time,safe and reliable,with fewer complications,which is worthy of application and promotion.