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[目的]探讨腹腔镜手术治疗宫外孕患者临床疗效和预后.[方法]收集2011年1月至2015年12月在本院的宫外孕患者62例,按照手术方式不同分为开腹组(21例,行开腹手术)、腹腔镜组(41例,行腹腔镜手术),比较两组患者手术指标、血液流变学指标及血绒毛膜促性腺激素(HCG)水平,随访两组患者输卵管再通及术后受孕情况并比较.[结果]与开腹组相比,腹腔镜组术中出血量降低,手术时间、下床活动及肛门排气、术后腹痛持续时间及导管留置时间均缩短,其差异均有统计学意义(P＜0.05);术后腹腔镜组高切全血粘度、低切全血粘度、血浆粘度、红细胞压积及血β-HCG水平均较术前降低,且低于开腹组,差异有统计学意义(P＜0.05);腹腔镜组输卵管通畅率90.24％(37/41)及术后宫内妊娠率73.17％(30/41)均较开腹组高[61.90％(13/21)、47.62％(10/21)],差异有统计学意义(P＜0.05).[结论]宫外孕腹腔镜手术具有手术创伤小、风险低、恢复快等治疗优势,有助于最大限度保留生育功能,改善血液流变学,降低HCG水平,值得临床推广应用.“,”[Objective]To evaluate the clinical efficacy and prognosis of laparoscopic surgery for ectopic pregnancy patients.[Methods]A total of 62 patients with ectopic pregnancy who were treated in our hospital from January 2011 to December 2015 were divided into two groups according to the operation methods :the laparotomy group(21 cases,lapa-rotomy)and the laparoscopic group(41 cases).The operative parameters,hemorheology indexes and serum chorionic gonadotropin(HCG)levels were compared between the two groups.The fallopian tube recanalization and postoperative fertility of the two groups were recorded and compared as well.[Results]Compared to the laparotomy group,the intraop-erative blood loss was reduced in the laparoscopic group,and the operation time,ambulation and anal exhaust,duration of postoperative abdominal pain,and catheter indwelling time were all shortened ;the differences were statistically significant(P ＜0.05).After laparoscopic surgery,high-cutting whole blood viscosity,low-cutting whole blood viscosity,plasma viscosity,hematocrit,and serum β-HCG levels were lower than before surgery,and were lower in the laparoscopic group than those in the laparotomy group ;the difference was statistically significant(P＜0.05).In the laparoscopic group,fal-lopian tubal patency rate was 90.24％(37/41)and the postoperative intrauterine pregnancy rate was 73.17％(30/41),which were higher than those in the laparotomy group [61.90％(13/21),47.62％(10/21),respectively].The differ-ences were statistically significant(P ＜0.05).[Conclusion]Laparoscopic surgery for ectopic pregnancy has the advantages of small surgical trauma,low risk and quick recovery.It helps to maximize fertility,improve hemorheology,reduce HCG level and benefit patients.