急诊腹腔镜与传统开腹手术治疗输卵管异位妊娠疗效观察

目的:观察比较急诊腹腔镜与传统开腹手术在治疗输卵管异位妊娠中的临床效果。方法:回顾性分析输卵管异位妊娠患者在行急诊腹腔镜手术与传统手术治疗的临床资料各75例患者,比较两组患者手术时间、术中出血量、术后肛门排气时间、术后输卵管通畅情况。结果:急诊腹腔镜组手术时间(40.43±2.45)min与传统开腹手术组手术时间(40.52±2.78)min比较,差异无统计学意义;急诊腹腔镜组术中出血量(16.23±2.27)ml与传统开腹手术组术中出血量(48.65±12.23)ml比较,差异有统计学意义;急诊腹腔镜组术后肛门排气时间(1.23±0.6)天与传统开腹手术组术后肛门排气时间(2.35±0.8)天比较,差异有统计学意义;急诊腹腔镜组术后输卵管通畅率(83.5±2.3)%与传统开腹手术组(52.7±3.9)%比较,差异有统计学意义。结论:腹腔镜手术治疗输卵管异位妊娠出血少、术后恢复快、输卵管通畅率高,疗效优于传统开腹手术,是治疗输卵管异位妊娠的首选治疗方案。

Observation on curative effect of emergent laparoscopy and routine laparotomy in treatment of tubal ectopic pregnancy

Objective:To observe and compare the clinical efficacies of emergent laparoscopy and routine laparotomy in treatment of tubal ectopic pregnancy.Methods:The clinical data of 75 patients with tubal ectopic pregnancy treated with emergent laparoscopy and 75 patients with tubal ectopic pregnancy treated with routine laparotomy were analyzed retrospectively,the operation times,the amounts of blood loss during operation,anal exhausting times after operation,tubal patency situations after operation in the two groups were compared.Results:There was no significant difference in the operation time between emergent laparoscopy group((40.43±2.45) minutes) and routine laparotomy group((40.52±2.78) minutes);there was significant difference in the amount of blood loss during operation between emergent laparoscopy group((16.23±2.27) ml) and routine laparotomy group((48.65±12.23) ml);there was significant difference in the anal exhausting time after operation between emergent laparoscopy group((1.23±0.6) days) and routine laparotomy group((2.35±0.8) days);there was significant difference in patency rate of fallopian tubes between emergent laparoscopy group((83.5±2.3)%) and routine laparotomy group((52.7±3.9)%).Conclusion:Laparoscopy has the advantages of less blood loss,rapid recovery,and high patency rate of fallopian tubes in treatment of tubal ectopic pregnancy,its curative effect is superior to routine laparotomy,and it is the first choice for treatment of tubal ectopic pregnancy.