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目的探讨腹腔镜手术治疗异位妊娠的临床疗效。方法分析比较64例行腹腔镜手术和56例行开腹手术治疗异位妊娠的手术时间、平均住院天数、并发症、术后情况等。结果腹腔镜手术与开腹手术相比较,腹腔镜手术组手术时间、术后镇痛药使用均少于开腹手术组,差异有统计学意义(P<0.05)。术中出血量、术后肛门排气时间、自主排尿时间、术后住院时间均短于开腹手术,差异有显著性(P<0.01)。结论腹腔镜手术治疗异位妊娠具有安全、手术时间短、创伤小、痛苦少、无明显手术瘢痕、术中出血量少、术后恢复快、住院时间短等优点,值得临床推广应用。
Objective To investigate the clinical efficacy of laparoscopic surgery for ectopic pregnancy. Methods Analyzed 64 cases of laparoscopic surgery and 56 cases of laparotomy for ectopic pregnancy operation time, the average length of stay, complications, postoperative condition and so on. Results Compared with laparotomy, laparoscopic surgery group had less operation time and postoperative analgesics than laparotomy group, the difference was statistically significant (P <0.05). Intraoperative bleeding, postoperative anal exhaust time, spontaneous voiding time, postoperative hospital stay were shorter than open surgery, the difference was significant (P <0.01). Conclusion Laparoscopic surgery for ectopic pregnancy with safety, short operative time, less trauma, less pain, no obvious surgical scar, less blood loss, quick recovery after surgery, short hospital stay, etc., worthy of clinical application.