腹腔镜与开腹手术治疗异位妊娠的效果对比

Comparison of Laparoscopic and Laparotomy in the Treatment of Ectopic Pregnancy

目的 探究腹腔镜与开腹手术治疗异位妊娠的效果差异。方法 回顾性分析2017年8月至2019年4月睢县妇幼保健院所收治的120例异位妊娠患者的临床资料。按照患者的手术方案不同分为开腹组和腹腔镜组,每组患者各60例。开腹组患者接受开腹手术治疗,腹腔镜组患者则在腹腔镜下手术治疗。两组患者均完成术后2年的随访。对比两组患者的手术操作相关指标(手术出血量、手术时间)、术后康复相关指标(住院时间、术后输液时间、下床活动时间、腹痛发热持续时间)、随访时间内的再次妊娠情况(正常妊娠比例,再次异位妊娠比例,未妊娠比例)。结果 腹腔镜组患者的术中出血量、手术时间显著低于开腹组,差异有统计学意义(P<0.05)。腹腔镜组患者的住院时间、术后输液时间、下床活动时间、腹痛发热持续时间均显著低于开腹组,差异有统计学意义(P<0.05)。两组患者的正常妊娠率、再次异位妊娠率差异无统计学意义(P>0.05)。结论 腹腔镜手术对异位妊娠患者造成的创伤较小,术后恢复时间短,康复效果好。

Objective To explore the difference between laparoscopy and laparotomy in the treatment of ectopic pregnancy.Methods The subjects were 120 patients with ectopic pregnancy admitted in Sui County Maternal and Child Health Hospital from August 2017 to April 2019, and the data were analyzed retrospectively. The patients were divided into laparotomy group and laparoscopy group according to the different operation plans, with 60 patients in each group. Patients in the laparotomy group received open abdominal surgery, while patients in the laparoscopy group received laparoscopic surgery. The patients in both groups were followed up for 2 years after operation. The operation related indexes(operation bleeding volume and operation time), the postoperative rehabilitation related indicators(hospitalization time, postoperative infusion time, activity time out of bed, duration of abdominal pain and fever)and the second pregnancy during the follow-up period(proportion of normal pregnancy, proportion of second ectopic pregnancy, proportion of non pregnancy) of the two groups were compared. Results The amount of intraoperative bleeding and operation time in laparoscopic group were lower than those in laparotomy group, with significant differences(P<0.05);The hospitalization time, postoperative infusion time, activity time, abdominal pain and fever duration in the laparoscopy group were significantly lower than those in the laparotomy group, with significant differences(P<0.05);There were no significant differences in normal pregnancy rate and second ectopic pregnancy rate between the two groups(P>0.05). Conclusion Laparoscopic surgery for ectopic pregnancy has less trauma to patients, with shorter postoperative recovery time and better rehabilitation effect.