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[目的]探讨腹腔镜手术在治疗盆腔手术后休克型输卵管妊娠中的优越性。[方法]54例盆腔手术史,休克型输卵管妊娠患者随机分为腹腔镜手术组(研究组24例)和开腹手术组(对照组30例),进行术中术后情况分析对比。[结果]54例全部抢救成功,无并发症,两组在手术时间、手术方式、术中出血、术后排气时间、应用抗生素时间,离床时间及术后发热,住院天数等方面差异有统计学意义,腹腔镜组优于开腹组,保守性手术成功率腹腔镜组明显高于开腹组。[结论]盆腔手术后休克型输卵管妊娠的手术抢救,在抗休克同时进行腹腔镜手术是安全可靠的,腹腔镜与开腹手术相比较,有手术时间短、创伤小、术后恢复快、选择保守性手术成功率高的优势,可作为休克型输卵管妊娠有生育要求患者保守手术的首选。
[Objective] To investigate the advantages of laparoscopic surgery in the treatment of shock tubal pregnancy after pelvic surgery. [Method] 54 patients with pelvic surgery history and shock type tubal pregnancy were randomly divided into laparoscopic operation group (24 cases in study group) and open operation group (30 cases in control group). [Results] All the 54 cases were successfully salvaged without complications. There were differences in operation time, operation mode, intraoperative bleeding, postoperative exhaust time, antibiotic time, bed departure time, postoperative fever and hospital stay Statistical significance, laparoscopic group was better than the open group, the success rate of conservative surgery laparoscopic group was significantly higher than the open group. [Conclusion] The surgical treatment of shock tubal pregnancy after pelvic surgery is safe and reliable in anti-shock laparoscopic surgery. Compared with laparotomy, laparoscopy has the advantages of short operation time, small trauma and rapid postoperative recovery. Conservative surgical advantages of high success rate, can be used as a shock-type tubal pregnancy fertility requirements of patients with conservative surgery preferred.