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腹腔镜下与开腹取胚术治疗250例输卵管妊娠的疗效比较
引用本文:符伟. 腹腔镜下与开腹取胚术治疗250例输卵管妊娠的疗效比较[J]. 四川医学, 2012, 33(1): 71-74
作者姓名:符伟
作者单位:达州市中心医院妇产科,四川达州,635000
摘    要:目的 探讨腹腔镜下与开腹切开取胚术治疗榆卵管妊娠的临床疗效对比.方法 将本院250例输卵管妊娠患者随机分为两组,腹腔镜组和开腹组每组125例,比较两组患者的术前一般情况、手术时间、术中出血量、术后疼痛、术后排气时间、术后发热率、术后抗生素应用天数、术后下床活动时间、住院天数、术后持续性异位妊娠发生率、输卵管通畅率及再次异位妊娠发生率.结果 两组年龄、产次、孕次、术前血β-hCG水平、术后持续性异位妊娠发生率比较差异无统计学意义(P>0.05);两组手术时间、术中出血量、术后疼痛、术后排气时问、术后抗生素应用天数、术后下床活动时间、住院天数及再次异位妊娠发生率腹腔镜组明显低于开腹组(P<0.05).术后输卵管通畅率腹腔镜组高于开腹组(P<0.05).结论 输卵管妊娠腹腔镜下切开取胚术具有创伤小、疼痛轻、并发症少和恢复快、住院时间短、切口美观,术后输卵管通畅率高及降低再次异位妊娠发生率等优点,更适合于有生育要求的榆卵管妊娠患者.

关 键 词:腹腔镜  开腹手术  输卵管妊娠  宫外孕

Clinical analysis on conservative operative laparoscopy and laparotomy in curing tubal pregnancy of 250 patients
FU Wei. Clinical analysis on conservative operative laparoscopy and laparotomy in curing tubal pregnancy of 250 patients[J]. Sichuan Medical Journal, 2012, 33(1): 71-74
Authors:FU Wei
Affiliation:FU Wei.The Central Hospital of Dazhou,Dazhou,Sichuan 635000,China
Abstract:Objective To discuss the clinical value of conservative operative laparoscopy and laparotomy in curing tubal prenancy.Methods 250 tubal pregnancy patients who received conservative operation were analysised.The patients were randomly divided into two group:Laparoscopy group(125 cases)and laparotomy group(125 cases).Their preoperative general status,operative time,blood loss,painess after operation,evacuating time,fever morbifity,the time of using antibiotics and ambulation,hospitalization,morbility persistent ectopic pregnancy,morbililty of secondary ectopic pregnancy,postoperative tubal patency rate were compared.Results The differences of age、parity and preoperative serum β-hCG levels were not statisticly significant.The operative time,blood loss,painess after operation,evacuating time,fever morbility,the time of using antibiotics and ambulation,hospitalization morbililty of secondary ectopic pregnancy were less than the laparotomy group significant.The postoperative tubal patency rate in the laparoscopy was higher than the laparotomy group.and the diferences was statisticly significant.Conclusion Conservative operative laparoscopy in curing tubal pregnancy has some advantages such as less trauma,painless,complication,Quicker recovery,shorter hospitalization,higher postoperative tubal patency rate,reducing morbility of secondary ectopic pregnancy which is more suitable for the patients who had desire for further fertilization.
Keywords:laparoscopy  laparotomy  tubal pregnancy  ectopic pregnancy
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