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目的:比较电视腹腔镜手术与剖腹手术治疗输卵管妊娠的效果、住院时间。方法:将2004年1月~2005年1月腹腔镜诊断和治疗的输卵管妊娠住院病例110例与未开展腹腔镜手术的1998年1月~1999年1月输卵管妊娠开腹手术的病例110例就手术时间、术中出血、术后肛门排气时间和住院时间进行比较。结果:腹腔镜手术组手术时间及术中出血明显少于剖腹手术组(P<0.01),术后肛门排气时间及住院时间明显短于剖腹手术组(P<0.01)。结论:电视腹腔镜手术治疗输卵管妊娠具有手术时间短,术中出血少,术后肠功能恢复迅速,住院时间短等优点,适于临床应用。
Objective: To compare the efficacy of laparoscopic surgery and laparotomy in the treatment of tubal pregnancy and hospital stay. Methods: 110 cases of tubal pregnancy inpatients diagnosed and treated by laparoscopy from January 2004 to January 2005 were compared with 110 cases of tubal pregnancy undergoing open surgery from January 1998 to January 1999 without laparoscopic surgery Operation time, intraoperative bleeding, postoperative anal exhaust time and hospital stay were compared. Results: The operation time and intraoperative bleeding in laparoscopic surgery group were significantly less than those in laparotomy group (P <0.01). The time of postoperative anal exhaust and hospitalization was significantly shorter than that in laparotomy group (P <0.01). Conclusion Laparoscopic surgery for tubal pregnancy has the advantages of short operative time, less intraoperative bleeding, rapid recovery of bowel function, shorter hospital stay, and is suitable for clinical application.