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目的:研究腹腔镜手术治疗异位妊娠的临床效果及安全性。方法:将520例异位妊娠患者分成腹腔镜组298例及开腹组222例,比较两组的手术时间、术中出血量、术后下床时间、住院天数、术后镇痛需求以及并发症。结果:两组均成功完成手术,与开腹组比较,腹腔镜组手术时间短、术中出血量少、下床活动早、住院天数短、术后镇痛需求率低、并发症少,差异有显著性(P<0.01,P<0.05)。结论:腹腔镜手术治疗异位妊娠对机体损伤小,术中出血量少,术后恢复快,痛苦小,安全性高,是治疗异位妊娠的理想手术方案。
Objective: To study the clinical effect and safety of laparoscopic surgery for ectopic pregnancy. Methods: 520 cases of ectopic pregnancy were divided into laparoscopic group of 298 cases and open group of 222 cases. The operation time, intraoperative blood loss, postoperative ambulation time, hospitalization days, postoperative analgesia demand and complications disease. Results: The operation of both groups was completed successfully. Compared with the open group, laparoscopic group had shorter operative time, less intraoperative blood loss, early bed ambulation, shorter days of hospitalization, less postoperative analgesic demand and fewer complications There was significant (P <0.01, P <0.05). Conclusion: Laparoscopic surgery for ectopic pregnancy on the body less damage, less blood loss, postoperative recovery faster, less pain, high safety, is the ideal surgical treatment of ectopic pregnancy program.