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目的 通过回顾性对照分析 ,了解异位妊娠腹腔镜手术治疗的临床价值及安全性。方法 对4 7例剖腹手术和 4 4例腹腔镜手术的异位妊娠病人分组进行腹腔积血量、术中出血量、手术时间、术后病率、住院天数对照分析。结果 腹腔积血量两组间无差异 ,术中出血量、住院天数腹腔镜组明显少于剖腹手术组(P均 <0 0 1) ,术后病率发生率腹腔镜组明显小于剖腹手术组 (P <0 0 1) ,手术时间腹腔镜组明显大于剖腹手术组 (P <0 0 1)。结论 腹腔镜手术具有创伤小、术中出血少、恢复快、术后病率低、住院天数少等优点 ,是异位妊娠病人首选并安全有效的治疗方案。
Objective To investigate the clinical value and safety of laparoscopic surgery for ectopic pregnancy by retrospective comparative analysis. Methods A total of 47 cases of ectopic pregnancy undergoing laparotomy for laparotomy and 44 cases undergoing laparoscopic surgery were divided into two groups according to the amount of intraperitoneal hemorrhage, blood loss, operation time, postoperative morbidity and hospitalization days. Results There was no difference in the amount of intra-abdominal hemorrhage between the two groups. The amount of blood loss and hospital stay in laparoscopic group was significantly less than that in laparotomy group (P <0.01). The incidence of postoperative laparoscopic group was significantly lower than that of laparotomy group (P <0.01), laparoscopic surgery group was significantly larger than laparotomy group (P <0.01). Conclusions Laparoscopic surgery has the advantages of less trauma, less intraoperative bleeding, faster recovery, less postoperative morbidity and fewer days of hospitalization. It is the first choice and safe and effective treatment for patients with ectopic pregnancy.