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目的通过腹腔镜和开腹手术治疗异位妊娠的临床对比研究,探讨腹腔镜手术在异位妊娠诊治的优越性。方法我院于2007年6月至2008年12月期间,共收治异位妊娠患者84例,其中采用腹腔镜治疗42例(腹腔镜组),采用开腹手术治疗42例(开腹组)。将两组患者在手术时间、术中失血量、肛门排气时间、住院周期和术后并发症等方面进行比较。结果腹腔镜组在减少术中出血量、肛门排气时间和住院周期方面明显优于开腹组,不过腹腔镜组的术后并发症相对较多。结论腹腔镜手术创伤小,恢复快,术中出血少,治疗效果可靠及住院时间短等优点,值得有条件的医院推广应用,是治疗异位妊娠首选的手术方式。
Objective To compare the clinical effects of laparoscopic and laparotomy in the treatment of ectopic pregnancy and to explore the superiority of laparoscopic surgery in the diagnosis and treatment of ectopic pregnancy. Methods A total of 84 patients with ectopic pregnancy were treated in our hospital from June 2007 to December 2008. Among them, 42 patients underwent laparoscopy (laparoscopic group) and 42 patients underwent laparotomy (open group). The two groups of patients in the operation time, intraoperative blood loss, anal exhaust time, hospitalization and postoperative complications were compared. Results Laparoscopic group was significantly better than the open group in reducing intraoperative blood loss, anal exhaust time and hospitalization period, but laparoscopic group postoperative complications were relatively more. Conclusion Laparoscopic surgery trauma, rapid recovery, less bleeding, reliable treatment and shorter hospital stay, etc., is worthy of the promotion of the application of the hospital, is the preferred surgical treatment of ectopic pregnancy.