腹腔镜与开腹手术治疗输卵管妊娠的临床对照研究

目的:探讨腹腔镜与开腹手术治疗输卵管妊娠的优缺点及安全性。方法:选取输卵管妊娠患者共90例,其中腹腔镜手术53例(腹腔镜组),开腹手术37例(开腹组),观察手术时间、术中出血量、术后3天内平均体温、肛门排气时间、下床活动时间、总住院时间、术中及术后并发症等情况。结果:开腹组术中出血量、术后平均体温、排气时间、下床时间、住院费用、住院时间等指标均大于(长于)腹腔镜组,但是手术时间腹腔镜组长于开腹组,各项指标两组之间比较差异有统计学意义(P<0.05);腹腔镜组2例患者术后血β-HCG水平不下降加用药物治疗后恢复正常范围。结论:腹腔镜手术治疗输卵管妊娠术后恢复快,手术微创,但是费用较高,整体临床疗效优于开腹手术。

A clinical control study on therapeutic effects of laparoscopy and laparotomy for treatment of tubal pregnancy

Objective:To explore the advantages,disadvantages,and safeties of laparoscopy and laparotomy for treatment of patients with tubal pregnancy. Methods:A total of 90 patients with tubal pregnancy were selected as study objects,including 53 patients receiving laparoscopy(laparoscopy group) and 37 patients receiving laparotomy(laparotomy group);the operation times,the amounts of blood loss during operation,the mean temperatures within three days after operation,the anal exhausting times,the postoperative times leaving beds,the total hospitalization times,the intraoperative and postoperative complications in the two groups were observed. Results:The amount of blood loss during operation,the mean temperature within three days after operation,the anal exhausting time,the postoperative time leaving beds,the hospitalization expense,and the total hospitalization time in laparotomy group were statistically significantly longer(higher) than those in laparoscopy group,but the operation time in laparoscopy group was statistically significantly longer than that in laparotomy group(P<0.05).In laparotomy group,the blood β-human chorionic gonadotropin(β-HCG) levels of two patients didn’t decrease after operation,then they returned to normal levels after drug treatment. Conclusion:The advantages of laparoscopy for treatment of tubal pregnancy include rapid recovery and minimal invasion,but the expense is high,the total clinical curative effect of laparoscopy is superior to laparotomy.