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目的观察输卵管妊娠患者采用腹腔镜与开腹手术治疗的临床效果。方法将82例输卵管妊娠患者根据手术方式不同分为开腹手术组(对照组)与腹腔镜组(观察组),每组41例。观察比较2组手术时间、术中出血量、肛门排气时间、体温恢复正常时间、导尿管留置时间、下床时间、住院时间,观察治疗过程中并发症发生情况及随访宫内妊娠情况。结果观察组手术时间、导尿管留置时间、下床时间、住院时间、术中出血量、肛门排气时间、体温恢复正常时间均优于对照组(P<0.05)。观察组术后并发症发生率为9.8%,低于对照组的58.5%(P<0.01);观察组随访宫内妊娠发生率为78.0%,高于对照组的56.1%(P<0.05)。结论腹腔镜手术与传统开腹输卵管妊娠手术相比,具有手术时间短,患者术后恢复快,术后并发症少,再次妊娠率高等优点,值得临床推广应用。
Objective To observe the clinical effect of laparoscopic and open surgery in patients with tubal pregnancy. Methods 82 cases of tubal pregnancy patients were divided into laparotomy group (control group) and laparoscopic group (observation group) according to different surgical methods, each group 41 cases. The operation time, intraoperative blood loss, anal exhaust time, body temperature recovery time, catheter retention time, bed time and hospital stay were observed and compared. The incidence of intra-uterine pregnancy and follow-up were observed. Results The operation time, catheter indwelling time, bed time, hospital stay, intraoperative blood loss, anal exhaust time and body temperature returned to normal in the observation group were all better than those in the control group (P <0.05). The incidence of postoperative complications in the observation group was 9.8%, which was lower than 58.5% in the control group (P <0.01). The intrauterine pregnancy rate in the observation group was 78.0%, higher than that in the control group (56.1%, P <0.05). Conclusion Laparoscopic surgery has the advantages of shorter operation time, faster recovery after operation, less postoperative complications and higher pregnancy rate again, which is worthy of clinical application.