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腹腔镜手术治疗输卵管妊娠78例临床分析
引用本文:喻孙军,丰青龙,朱珊珊,童丽娜,张仁,单丽华,杨潇,裘丽,姚济芬. 腹腔镜手术治疗输卵管妊娠78例临床分析[J]. 杭州医学高等专科学校学报, 2008, 28(3): 168-170
作者姓名:喻孙军  丰青龙  朱珊珊  童丽娜  张仁  单丽华  杨潇  裘丽  姚济芬
作者单位:杭州师范大学临床医学院,浙江杭州310036
基金项目:杭州师范大学挑战杯科研项目
摘    要:目的探讨腹腔镜手术在治疗输卵管妊娠中的临床应用价值。方法收集杭州师范大学附属医院2005年1月至2007年6月期间腹腔镜治疗输卵管妊娠病例78例,随机选择同期本院开腹手术治疗输卵管妊娠44例为对照组。记录其术前病史、阳性体征、手术时间、术中出血量、术后抗生素使用时间、术后肛门恢复排气时间、住院费用和住院天数。手术方式:输卵管妊娠部位切开取胚术、输卵管妊娠破裂清理病灶修补术及患侧输卵管切除术。结果腹腔镜手术组术中出血量少(t=8.993,P〈0.05)、手术时间短(t=8.533,P〈0.05)、术后肛门恢复排气时间短(t=11.979,P〈0.05)、术后抗生素使用时间短(t=9.548,P〈0.05)、术后住院时间短(t=7.744,P〈0.05),但手术费用较高(t=6.580,P〈0.05)。结论腹腔镜手术是治疗输卵管异位妊娠的一种理想的手术方式,值得推广。

关 键 词:输卵管妊娠  腹腔镜  手术治疗

Clinical analysis of 78 cases with tubal ectopic pregnancy treated by laparoscopic surgery
YU Sun-jun,FENG Qi-long,ZHU Shan-shan,ZHANG Ren,SHAN Li-hua,YANG Nan,QIU Li,YAO Ji-feng. Clinical analysis of 78 cases with tubal ectopic pregnancy treated by laparoscopic surgery[J]. Journal of Hangzhou Medical College, 2008, 28(3): 168-170
Authors:YU Sun-jun  FENG Qi-long  ZHU Shan-shan  ZHANG Ren  SHAN Li-hua  YANG Nan  QIU Li  YAO Ji-feng
Affiliation:YU Sun-jun,FENG Qi-long,ZHU Shan-shan,ZHANG Ren,SHAN Li-hua,YANG Nan,QIU Li,YAO Ji-feng(Clinical Medical College,Hangzhou Normal University,Hangzhou,Zhejiang 310036,China)
Abstract:Objective To evaluate the application of laparoscopic surgery in the treatment of tubal ectopic pregnancy. Methods 122 patients diagnosed of tubal ectopic pregnancy were divided into television laparoscopic surgery group(78 cases) and laparotomy group(control group,44 cases).The preoperative history,positive signs,operative time,blood loss during operation,duration of postoperative antibiotics applying,recovery time of anal exsufflation,cost of hospitalization and time of hospitalization were recorded and a...
Keywords:tubal ectopic pregnancy  laparoscopic surgery  surgical treatment  
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