腹腔镜与开腹手术治疗宫外孕的疗效对比

目的:比较腹腔镜与开腹手术治疗宫外孕的临床疗效。方法:将2008年2月～2011年2月本院住院治疗的160例宫外孕患者随机分入观察组(腹腔镜组)与对照组(开腹手术组),每组各80例,比较两组临床疗效及术后恢复情况。结果:观察组手术时间(50.68±8.26)显著少于对照组(80.26±11.29);两组术中出血量分别为(35.42±6.25)mL与(86.35±11.82)mL,观察组显著少于对照组(P<0.05);观察组肛门排气时间、常规留置尿管时间、下床活动时间及平均住院天数显著少于对照组(P<0.05);观察组患者术后恢复正常工作生活时间显著少于对照组(P<0.05)。结论:相对于开腹手术,腹腔镜治疗宫外孕具有疗效确切、对机体损伤小,患者恢复快的特点。

Comparison of laparoscopy and laparotomy operation for ectopic pregnancy

Objective: To compare the clinical effect of laparoscopy and laparotomy operation for ectopic pregnancy.Methods:A total of 160 cases with ectopic pregnancy from 2008 February to 2011 February were randomly divided into laparoscopy group and laparotomy group with 80 patients each group,and clinical effect were compared between two groups.Results:Operation time were(50.68±8.26) and(80.26±11.29) min in laparoscopy group and laparotomy group,respectively,with significant difference between two groups(P<0.05);The blood loss of laparoscopy group were significant less than that in laparotomy group(35.42±6.25) vs(86.35±11.82) mL,P<0.05);The average time of anus exhaust,detaining urethral catheterization,ground activity,length of hospital stay and normal working recovery after operation in laparoscopy group were signifcantly shorter than laparotomy group(P<0.05).Conclusion:Compared with laparotomy operation,laparoscopy operation for ectopic pregnancy have some advantage of obvious curative effect,less injure and faster recovery.