腹腔镜手术与开腹手术治疗输卵管妊娠疗效比较 |
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引用本文: | 葛慧仙,王宝金,杨春丽,申爱荣,Hui-xian,Bao-jin,Chun-li,Ai-rong.腹腔镜手术与开腹手术治疗输卵管妊娠疗效比较[J].中原医刊,2010(6). |
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作者姓名: | 葛慧仙 王宝金 杨春丽 申爱荣 Hui-xian Bao-jin Chun-li Ai-rong |
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摘 要: | 目的 探讨输卵管妊娠腹腔镜保守手术与传统开腹手术的治疗效果,为选择不同手术方式提供相关依据.方法 回顾性分析2008年9月至2009年4月于郑州大学第三附属医院妇产科住院行手术治疗的210例有生育要求的输卵管妊娠患者,其中140例行腹腔镜手术治疗,70例行传统开腹手术治疗,对两组术中、术后情况进行比较分析.术后随访3~12个月.结果 腹腔镜组术中出血量、手术时间、术后镇痛、住院天数与开腹组比较,差异均有统计学意义(P<0.05),各指标优于开腹组.术后腹腔镜组宫内妊娠65例(46.43%)、再次异位妊娠55例(39.29%),开腹组宫内妊娠20例(28.57%)、再次异位妊娠35例(50%),两组比较差异均有统计学意义(P<0.05).结论 腹腔镜保守手术治疗输卵管妊娠对机体损伤小、术后恢复快、临床疗效好,可以作为输卵管妊娠且有生育要求患者保守手术的首选.
Abstract:
Objective To compare the clinical effect of laparoscopy and laparotomy in treating tubal pregnancy. Methods The clinical datas of the patients with ectopic pregnancy were retrospectively analyzed from September 2008 to Apirl 2009 in our hospital.All of the 210 patients had demand of pregnancy after operation.The cases in laparoscopy and laparotomy group were 140 cases and 70 cases respectively. Results The amounts of bleeding,time of operation,rate of alleviation, duration of hospitalization in laparoscopy group were all significantly lower than those in laparotomy group (P all<0.05). In laparoscopic operation group,65(46.42%)cases had intrauterine pregnancy and 55(39.29%)cases had recurrence of ectopic pregnancy. In laparotomy group, 20(28.57%)cases had intrauterine pregnancy and 35(39.29%)cases had recurrence of ectopic pregnancy.The above showed significant difference( P all<0.05).Conclusions Laparoscopy has little damage to human body and has good clinical effect,so it can be the first choice for tubal pregnancy opertions for patients having demand of pregnancy.
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关 键 词: | 腹腔镜手术 传统开腹手术 保守手术治疗 输卵管妊娠 疗效比较 tubal pregnancy laparoscopic surgery ectopic pregnancy 腹腔镜保守手术 operation 再次异位妊娠 统计学意义 宫内妊娠 不同手术方式 significant 术中出血量 回顾性分析 human body difference 住院天数 |
Comparison of laparoscopic surgery and laparotomy for tubal pregnancy |
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Abstract: | Tubal pregnancy Laparoscopic operation Laparotomy Intrauterine pregnancy Recurrent ectopic pregnancy |
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Keywords: | Tubal pregnancy Laparoscopic operation Laparotomy Intrauterine pregnancy Recurrent ectopic pregnancy |
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