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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128例行腹腔镜手术和116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。结果将腹腔镜手术与开腹手术相比较,发现腹腔镜手术组具有较大的优越性,其手术所用时间、术后镇痛药物的使用均较开腹手术组减少,差异有统计学意义(P<0.05)。在术中出血量、术后肛门排气时间、自主排尿时间、术后住院时间等方面均短于开腹手术,差异有显著性(P<0.01)。结论应用腹腔镜手术治疗异位妊娠具有损伤小,痛苦轻,手术出血量少,术后恢复快,腹部无明显手术疤痕等优点,值得临床推广应用。
Objective To investigate the clinical efficacy of laparoscopic surgery for ectopic pregnancy. Methods Analysis of 128 cases of laparoscopic surgery and 116 cases of laparotomy for ectopic pregnancy operation time, the average length of stay, complications, postoperative condition and so on. Results Laparoscopic surgery compared with laparotomy found that laparoscopic surgery group has greater advantages, the time of surgery, the use of postoperative analgesic drugs were reduced compared with the open surgery group, the difference was statistically significant ( P <0.05). The blood loss, postoperative anal exhaust time, spontaneous urination time, postoperative hospital stay and other aspects were shorter than open surgery, the difference was significant (P <0.01). Conclusion The application of laparoscopic surgery for ectopic pregnancy has the advantages of less injury, less pain, less bleeding after operation, quick recovery after operation, no obvious surgical scars in the abdomen, etc, which is worthy of clinical application.