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目的分析并比较微创手术和传统宫外孕开腹手术对宫外孕的临床治疗效果。方法 88例宫外孕患者,根据患者入院先后时间分为对照组43例和观察组45例。对照组主要采用传统宫外孕开腹手术进行治疗,观察组主要采用腹腔镜手术进行治疗。比较两组患者的治疗效果。结果观察组治疗后出现2例肠麻痹,不良反应发生率为4.4%;对照组治疗后出现7例肠麻痹和5例切口感染,不良反应发生率为27.9%;观察组不良反应发生率低于对照组(P<0.05)。观察组手术时间(42.5±2.7)min、术中出血量(30.8±10.1)ml、疼痛评分(3.5±1.3)分、住院时间(3.4±1.2)d均优于对照组的(74.3±10.8)min、(54.8±10.5)ml、(6.7±1.9)分、(8.5±1.7)d(P<0.05)。结论采用腹腔镜手术和传统开腹手术对宫外孕患者进行治疗,腹腔镜手术治疗效果更好,给患者带来的不良反应发生率更低,可以减轻患者的痛楚,控制患者手术的时间和术中出血量,缩短住院时间,值得在临床上推广使用。
Objective To analyze and compare the clinical effects of minimally invasive surgery and traditional ectopic pregnancy on ectopic pregnancy. Methods Eighty-eight patients with ectopic pregnancy were divided into control group (n = 43) and observation group (n = 45) according to the patient’s admission time. The control group mainly used the traditional ectopic pregnancy for laparoscopic surgery, the observation group mainly used laparoscopic surgery for treatment. The treatment effect of two groups of patients was compared. Results In the observation group, 2 cases of intestinal paralysis occurred after treatment, the incidence of adverse reactions was 4.4%. In the control group, 7 cases of intestinal paralysis and 5 cases of wound infection occurred after treatment, the incidence of adverse reactions was 27.9%. The incidence of adverse reactions in the observation group was lower than Control group (P <0.05). The operative time (42.5 ± 2.7) min, intraoperative blood loss (30.8 ± 10.1) ml, pain score (3.5 ± 1.3) and hospitalization time (3.4 ± 1.2) days in the observation group were significantly higher than those in the control group (74.3 ± 10.8) min, (54.8 ± 10.5) ml, (6.7 ± 1.9) min and (8.5 ± 1.7) d respectively (P <0.05). Conclusions Laparoscopic surgery and traditional laparotomy are effective in treating patients with ectopic pregnancy. Laparoscopic surgery is more effective and causes less adverse reactions to patients. It can reduce the pain of patients and control the operation time and intraoperative Bleeding, shorten the hospital stay, it is worth to promote the use of the clinic.