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目的探讨异位妊娠者行腹腔镜和开腹手术治疗对临床疗效、并发症及生活质量的影响。方法选取2014年5月—2016年5月本院收治的异位妊娠123例患者予以回顾性地分析,按照临床所用不同手术治疗方案分为2组,将行开腹手术治疗56例患者作为对照组,将行腹腔镜手术治疗67例患者作为观察组,对两组临床疗效、并发症及生活质量情况进行比较分析。计量资料比较采用t检验,计数资料比较用χ~2检验,P<0.05为差异有统计学意义。结果观察组术后24、36 h VAS评分均比对照组低,且总并发症率(1.49%)比对照组(17.86%)低,差异均有统计学意义(均P<0.05);观察组患者治疗后的生理功能、社会功能、角色限制改善幅度均比对照组显著,差异均有统计学意义(均P<0.05)。结论异位妊娠者行腹腔镜手术治疗能够减轻患者疼痛,减少并发症发生,且提高患者生活质量,具有临床推广及应用价值。
Objective To investigate the effect of laparoscopic and open laparoscopic surgery on the clinical efficacy, complications and quality of life in patients with ectopic pregnancy. Methods 123 cases of ectopic pregnancy treated in our hospital from May 2014 to May 2016 were retrospectively analyzed. According to the different surgical treatment plans, two groups were divided into two groups, 56 cases undergoing laparotomy as control Group, 67 patients undergoing laparoscopic surgery as the observation group, the clinical efficacy, complications and quality of life were compared between the two groups. Measurement data were compared using t test, count data were compared using χ ~ 2 test, P <0.05 for the difference was statistically significant. Results The VAS score of observation group at 24 and 36 h after operation was lower than that of control group, and the total complication rate (1.49%) was lower than that of control group (17.86%), the differences were statistically significant (P <0.05) After treatment, the physiological function, social function and role limitation of patients were significantly improved compared with the control group (all P <0.05). Conclusion Laparoscopic surgery in patients with ectopic pregnancy can reduce pain and reduce complications, and improve the quality of life of patients, with clinical promotion and application value.