论文部分内容阅读
目的探讨腹腔镜手术诊断和治疗异位妊娠(Ectopic pregnancy)的疗效和安全性。方法病人年龄16～45岁,平均(21.9±3.5)岁。采用配对对照方法比较腹腔镜手术与传统开腹手术对异位妊娠患者的疗效和安全性的差异。结果腹腔镜手术比传统开腹手术诊断符合率高;实验组手术时间为(58.2±8.3)min,对照组(69.8±7.7)min,组间比较均有统计学差异,P<0.01;实验组平均住院时间3.8d,对照组2.1d,组间比较有显著性不同,P<0.01;实验组平均住院费用5258.9元、对照组5824.6元,组间比较有统计学差异,P<0.05。两组切口甲级愈合分别231/256(96.3%),对照组为188/200(88.8%),前者显著高于后者,组间比较均有统计学意义,P<0.01。结论腹腔镜手术比传统开腹手术治疗异位妊娠平均手术时间、平均住院时间更短、平均住院费更低、切口甲级愈合率更高;皮下气肿、失血量等并发症更少;腹腔镜手术转开腹率低(4.3%)。
Objective To investigate the efficacy and safety of laparoscopic surgery in the diagnosis and treatment of ectopic pregnancy. Methods Patients aged 16 to 45 years, mean (21.9 ± 3.5) years. Paired control method was used to compare the efficacy and safety of laparoscopic surgery and traditional laparotomy on ectopic pregnancy. Results The coincidence rate of laparoscopic surgery was significantly higher than that of traditional laparotomy. The operation time was (58.2 ± 8.3) min in the experimental group and 69.8 ± 7.7 min in the control group (P <0.01). The experimental group The average length of hospital stay was 3.8d and that of the control group was 2.1d. There was significant difference between the two groups (P <0.01). The average hospitalization cost was 5258.9 Yuan in the experimental group and 5824.6 Yuan in the control group. There was significant difference between the two groups (P <0.05). Grade A incisions healed 231/256 (96.3%) in the two groups and 188/200 (88.8%) in the control group, respectively. The former was significantly higher than the latter, with statistical significance (P <0.01). Conclusions Laparoscopic surgery is more effective than conventional laparotomy in the treatment of ectopic pregnancy, the average length of stay, average length of stay, lower average hospitalization rate, higher incision grade A healing rate, less subcutaneous emphysema and less blood loss, Laparoscopic surgery to open low rate (4.3%).