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目的:比较用腹腔镜和开腹手术治疗异位妊娠的临床效果。方法:对2011年2月～2012年1月期间在我院妇科进行治疗的120例异位妊娠患者的临床资料进行回顾性研究。我们将这120例患者随机分成实验组和对照组,每组各有60例患者。其中,实验组患者进行腹腔镜手术治疗,对照组患者进行开腹手术治疗。治疗结束后,比较两组患者手术的时间、术中的出血量、住院的天数和发生并发症的情况。结果:实验组患者的手术全部成功,无1例需要再进行开腹手术治疗。在实验组的60例患者中,有34例患者进行了输卵管切除手术,有28例患者进行了输卵管开窗手术。对照组患者的手术也全部成功。在对照组的60例患者中,有32例患者进行了输卵管切除手术,有28例患者进行了输卵管开窗手术。实验组患者的手术时间与对照组患者相比无显著性差异(P<0.05)。实验组患者的术中出血量和住院天数均明显少于对照组患者,二者相比差异具有统计学意义(P>0.05)。实验组患者在手术后无人出现并发症,对照组患者在手术后有两例患者出现了并发症(1例患者发生了恶心呕吐,另1例患者出现了腹部切口疼痛的症状,这两例患者经对症治疗病情得到了控制),实验组患者在手术后出现并发症的几率明显少于对照组患者,二者相比差异具有显著性(P>0.05)。结论:用腹腔镜手术治疗异位妊娠具有创伤小、患者住院时间短、疤痕小、并发症少、能最大限度地保留输卵管的功能等优点,值得在临床上推广应用。
Objective: To compare the clinical effects of laparoscopic and laparotomy in the treatment of ectopic pregnancy. Methods: The clinical data of 120 patients with ectopic pregnancy who underwent gynecology in our hospital from February 2011 to January 2012 were retrospectively studied. We divided the 120 patients into experimental and control groups randomly, each with 60 patients in each group. Among them, patients in the experimental group were treated with laparoscopic surgery and patients in the control group were treated with laparotomy. After treatment, the operation time, intraoperative blood loss, days of hospitalization and complication were compared between the two groups. Results: All the patients in the experimental group were operated successfully. None of them required further laparotomy. Of the 60 patients in the experimental group, 34 patients underwent tubal surgery and 28 patients underwent tubal window surgery. The patients in the control group also had complete success. Of the 60 patients in the control group, 32 patients underwent tubal surgery and 28 patients underwent tubal window surgery. There was no significant difference between the experimental group and the control group (P <0.05). The experimental group of patients with intraoperative blood loss and hospitalization days were significantly less than the control group, the difference between the two was statistically significant (P> 0.05). No complications occurred in the experimental group after surgery, and complications occurred in two patients after surgery in the control group (nausea and vomiting occurred in one patient and abdominal incision pain in the other patient Patients were symptomatic treatment of disease has been controlled), the experimental group of patients with postoperative complications was significantly less than the control group, the difference between the two was significant (P> 0.05). Conclusion: Laparoscopic surgery for the treatment of ectopic pregnancy with less trauma, shorter hospital stay, fewer scars, fewer complications, to maximize the retention of tubal function, etc., it is worth to promote the clinical application.