腹腔镜手术与开腹手术治疗对异位妊娠患者再次宫内受孕时限的影响分析

Analysis of the influence of laparoscopic surgery and open surgery on the intrauterine pregnancy time limit of patients with ectopic pregnancy

目的研究对异位妊娠实施腹腔镜手术与开腹手术治疗后患者再次宫内受孕时限的影响。方法抽取特定时段内本院接收的异位妊娠患者68例展开研究,根据治疗措施差异将其分为两组,对照组传统开腹手术,观察组腹腔镜手术,对比术中术后指标情况、疼痛情况、治疗后输卵管畅通和再次宫内受孕情况。结果观察组术中术后指标均较对照组好,疼痛VAS评分明显较对照组低。治疗后输卵管畅通率97.0%,对照组82.3%,受孕率91.1%,对照组70.5%,且观察组受孕时间较对照组短,术中术后指标情、疼痛情况、治疗后输卵管畅通和再次宫内受孕情况对比差异有统计学意义(P<0.05)。结论对异位妊娠患者实施腹腔镜手术治疗疗效显著,值得推广。

Objective To study the effect of intra-uterine pregnancy time limit after laparoscopic surgery and open surgery for ectopic pregnancy.Methods A total of 68 patients with ectopic pregnancy received in our hospital during a specific time period were enrolled.According to the difference of treatment measures,they were divided into two groups.The control group underwent traditional open surgery,and the observation group underwent laparoscopic surgery.The intraoperative index and pain,the smooth tubal after treatment and the intrauterine pregnancy were compared.Results The intraoperative and postoperative indexes of the observation group were better than those of the control group,and the pain VAS score was significantly lower than that of the control group.After treatment,the unobstructed rate of fallopian tube was 97.0%,the control group was 82.3%,the pregnancy rate was 91.1%,and the control group was 70.5%.The observation group was shorter than the control group.The intraoperative index,pain,and the fallopian tube were smooth after treatment.There was statistical difference in the comparison of internal pregnancy(P<0.05).Conclusion The efficacy of laparoscopic surgery in patients with ectopic pregnancy was significant and worthy of promotion.