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目的探讨腹腔镜与开腹治疗异位妊娠患者的临床疗效。方法选取2013年4月至2015年3月农安县伏龙泉镇中心卫生院收治的100例异位妊娠患者作为研究对象,按随机数字表法将其分为甲组和乙组,各50例。甲组患者采用腹腔镜进行治疗,乙组患者行常规开腹手术治疗,比较两组患者的手术时间、术中出血量、术后下床时间、肛门排气时间、切口疼痛情况、住院时间及并发症发生情况。结果甲组患者的术中出血量明显少于对照组,术后下床活动时间、肛门排气时间、住院时间均明显短于对照组,切口疼痛评分明显低于对照组,差异均有统计学意义(均P<0.05);甲组患者的并发症总发生率明显低于乙组,差异有统计学意义(P<0.05)。结论腹腔镜和开腹手术均是治疗异位妊娠的有效方式,但腹腔镜具有出血量少、恢复快、并发症发生率低的优势,故在无禁忌证情况时可作为首选治疗方案。
Objective To investigate the clinical efficacy of laparoscopy and laparotomy for ectopic pregnancy. Methods A total of 100 ectopic pregnancy patients admitted to Fuchunquan Central Hospital of Nong’an from April 2013 to March 2015 were selected as research objects and divided into group A and group B according to random number table method, 50 cases each. Patients in group A were treated with laparoscopy. Patients in group B underwent routine laparotomy. The operation time, intraoperative blood loss, time to bed, anal exhaust time, incision pain, length of stay and Complications of the situation. Results A group of patients with intraoperative bleeding was significantly less than the control group, after bed ambulation time, anal exhaust time, hospitalization were significantly shorter than the control group, incision pain score was significantly lower than the control group, the difference was statistically significant (All P <0.05). The total complication rate in group A was significantly lower than that in group B, the difference was statistically significant (P <0.05). Conclusions Laparoscopy and laparotomy are effective methods for the treatment of ectopic pregnancy. However, laparoscopy has the advantages of less bleeding, faster recovery and lower complication rate, so it can be used as the first choice of treatment in the absence of contraindication.