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目的:探讨腹腔镜和开腹手术治疗宫外孕的效果。方法:选取宫外孕手术的患者75例,随机分为两组,行腹腔镜手术设为观察组,行开腹手术设为对照组。比较两组手术时间、术中出血量、留置尿管时间、肛门排气时间、下床活动时间、住院日、术后发热、手术并发症及术后输卵管通畅情况。结果:两组患者在手术时间、术中出血量、留置尿管时间、下床活动时间、住院时间等方面比较,具有显著性差异(P<0.05),但在肛门排气时间比较,无显著性差异(P>0.05)。结论:腹腔镜手术治疗宫外孕是安全的,手术损伤小又可保留生育功能,患者受益大。
Objective: To investigate the effect of laparoscopy and laparotomy on ectopic pregnancy. Methods: Seventy-five patients with ectopic pregnancy were randomly divided into two groups. Laparoscopic surgery was performed as observation group and laparotomy as control group. The operation time, intraoperative blood loss, indwelling catheter time, anal exhaust time, ambulation time, hospital stay, postoperative fever, operative complications and postoperative tubal patency were compared between the two groups. Results: The two groups of patients had significant difference (P <0.05) in operation time, intraoperative blood loss, indwelling catheter time, bed ambulation time and hospital stay, but there was no significant difference in anal exhaust time Sex differences (P> 0.05). Conclusions: Laparoscopic surgery for ectopic pregnancy is safe, and small surgical injury can retain reproductive function, patients benefit greatly.