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目的分析比较输卵管妊娠患者应用腹腔镜和传统开腹手术治疗的临床效果及安全性。方法 88例输卵管妊娠患者,根据入院先后顺序分为对照组与研究组,每组44例。对照组采用传统开腹手术治疗,研究组应用腹腔镜手术治疗。比较两组应用效果。结果研究组患者的手术时间、持续性宫外孕发生率与对照组比较差异均无统计学意义(P>0.05)。研究组的术中出血量为(73.2±6.5)ml,少于对照组的(152.3±7.6)ml,差异具有统计学意义(P<0.05)。研究组术后肛门排气时间为(15.2±6.3)h、体温恢复正常时间为(1.2±0.3)d,均早于对照组的(36.8±9.5)h、(2.9±0.8)d,差异均具有统计学意义(P<0.05)。研究组的住院天数为(7.2±2.5)d,短于对照组的(11.3±3.4)d,差异具有统计学意义(P<0.05)。对两组患者随访1年,均无明显手术并发症发生,研究组术后宫内妊娠率为86.36%,高于对照组的61.36%,差异具有统计学意义(P<0.05)。结论输卵管妊娠患者临床应用腹腔镜手术治疗,创伤小、术后恢复快,不会增加持续性宫外孕的发生率,有助于提高患者的宫内妊娠率,具有较高应用价值。
Objective To analyze the clinical effects and safety of laparoscopic and traditional laparotomy in patients with tubal pregnancy. Methods 88 cases of tubal pregnancy patients, according to the order of admission was divided into control group and study group, 44 cases in each group. The control group was treated with conventional laparotomy, and the study group was treated with laparoscopic surgery. Compare the effect of two groups. Results There was no significant difference in the operation time and the incidence of persistent ectopic pregnancy between the study group and the control group (P> 0.05). The bleeding volume of the study group was (73.2 ± 6.5) ml less than that of the control group (152.3 ± 7.6) ml, the difference was statistically significant (P <0.05). The anal exhaust time was (15.2 ± 6.3) h in the study group and (1.2 ± 0.3) days in the normal control group, both of which were earlier than that in the control group (36.8 ± 9.5) h and (2.9 ± 0.8) d, respectively Statistically significant (P <0.05). The hospital stay was (7.2 ± 2.5) d, shorter than that of the control group (11.3 ± 3.4) d, the difference was statistically significant (P <0.05). The follow-up of 1 year in both groups showed no significant complications. The intrauterine pregnancy rate was 86.36% in the study group, which was significantly higher than that in the control group (61.36%, P <0.05). Conclusion The clinical application of laparoscopic surgery in patients with tubal pregnancy, trauma, postoperative recovery fast, will not increase the incidence of persistent ectopic pregnancy, help to improve the intrauterine pregnancy rate in patients with high value.