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目的探讨腹腔镜在异位妊娠中的临床应用价值。方法 2005年1月至2010年6月收治的符合入选标准的482例异位妊娠患者,依据手术方式分为腹腔镜手术组280例,开腹手术组202例,观察腹腔镜手术组,开腹手术组两组手术时间、术中出血量、肛门排气时间、平均住院时间进行统计并进行比较。结果两组病例均顺利完成手术,腹腔镜手术组280例,无1例中途转开腹手术,两组手术时间、术中出血量比较P>0.05,无统计学差异性;肛门排气时间、平均住院时间比较P<0.05,有统计学差异性。结论腹腔镜手术针对异位妊娠具有明确诊断,创伤小,痛苦小,术后恢复快,住院时间短等优点,是治疗异位妊娠理想的手术方式。
Objective To investigate the clinical value of laparoscopy in ectopic pregnancy. Methods A total of 482 patients with ectopic pregnancy who met the inclusion criteria from January 2005 to June 2010 were divided into 280 cases of laparoscopic surgery group and 202 cases of laparotomy group according to the operation method. Surgery group two operation time, blood loss, anal exhaust time, the average length of stay statistics and compared. Results The two groups of patients were successfully completed the operation, 280 cases of laparoscopic surgery group, no case of midwife to open laparotomy, two groups of operation time, blood loss were P> 0.05, no statistical difference; anal exhaust time, The average length of stay was P <0.05, with statistical differences. Conclusion Laparoscopic surgery for ectopic pregnancy has a clear diagnosis, trauma, pain, fast recovery, shorter hospital stay, etc., is the ideal surgical treatment of ectopic pregnancy.