开腹与腹腔镜手术治疗异位妊娠患者术后生育结局的比较分析

Comparative analysis of postoperative pregnancy outcome of laparotomy and laparoscopic conservative surgery in patients with ectopic pregnancy

目的:比较开腹和腹腔镜手术治疗异位妊娠患者的术后生育结局。方法:2018年5月-2020年9月收治异位妊娠患者100例,随机分为两组,各50例。观察组实施腹腔镜保守手术治疗;对照组实施开腹手术治疗。比较两组术后生育结局。结果:观察组住院时间、HCG水平恢复时间、下床活动时间及肛门排气时间均低于对照组,差异有统计学意义(P<0.05);观察组输卵管畅通率及妊娠成功率均高于对照组,差异有统计学意义(P<0.05)。结论:腹腔镜保守手术治疗异位妊娠,能够改善患者症状,提高术后妊娠成功率,与开腹手术相比,效果更佳。

Objective:To compare the postoperative pregnancy outcome of laparotomy and laparoscopic conservative surgery in patients with ectopic pregnancy.Methods:From May 2018 to September 2020,100 cases of patients with ectopic pregnancy were enrolled,they were randomly divided into two groups with 50 cases in each group.The observation group performed laparoscopic conservative surgery.The control group underwent laparotomy.The postoperative pregnancy outcomes between the two groups was compared.Results:The lengths of hospital stay,the HCG level recovery time,the time of getting out of bed,and the anal exhaust time of the observation group were all lower than those of the control group,the differences were statistically significant(P<0.05).The unobstructed fallopian tube rate and pregnancy success rate of the observation group were higher than those of the control group,the differences were statistically significant(P<0.05).Conclusion:Laparoscopic conservative surgery for ectopic pregnancy can improve the symptoms of patients and increase the success rate of pregnancy after surgery.Compared with laparotomy,the effect is better.