腹腔镜与开腹手术治疗异位妊娠的临床效果观察

Clinical Effect of Laparoscopy and Laparotomy in the Treatment of Ectopic Pregnancy

目的:观察腹腔镜与开腹手术治疗异位妊娠的临床效果分析。方法:将在某院妇产科近期(2016年8月~2019年4月时期)收治以异位妊娠为诊断的患者总计102例,采用随机数字法分成腔镜组与开腹组各51例。其中腔镜组采取腹腔镜手术方式治疗,而开腹组采取传统开腹手术进行治疗,并对患者进行12个月的有效随访,对照两组患者术后不同时间段疼痛评分(VAS评分法)。结果:腔镜组患者术后1d、3d、5d、7d时VAS评分均少于开腹组,差异具有统计学意义(P<0.05)。结论:在异位妊娠的治疗中,采取腹腔镜手术治疗,可明显减少术中出血量与手术时间,减轻术后患者疼痛,缩短肠鸣音恢复、排气、下床与住院时间,减少术后并发症的发生,并提高患者术后再次宫内妊娠几率。

Objective:To observe the clinical effect of laparoscopy and laparotomy in the treatment of ectopic pregnancy.Methods:A total of 102 patients with ectopic pregnancy diagnosed in the gynecology and obstetrics department(from August 2016 to April 2019)of a hospital were randomly divided into laparoscopy group(51 cases)and laparotomy group(51 cases).The laparoscopy group was treated by laparoscopy,while the laparotomy group was treated by traditional laparotomy,and the patients were followed up for 12 months.The pain scores(VAS)were compared between the two groups at different time points after operation.Results:VAS score of laparoscopy group was lower than that of laparotomy group at 1d,3d,5d and 7d after operation,and the difference was statistically significant(P<0.05).Conclusion:In the treatment of ectopic pregnancy,laparoscopic surgery can significantly reduce the amount of bleeding and operation time,relieve the pain of patients after operation,shorten the time of bowel sounds recovery,exhaust,out of bed and hospitalization,reduce the occurrence of postoperative complications,and improve the probability of intrauterine pregnancy after operation.