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目的对腹腔镜手术和开腹手术治疗异位妊娠的临床效果进行比照研究。方法 64例异位妊娠患者,根据治疗方法不同分成观察组和对照组,各32例。观察组给予腹腔镜手术治疗,对照组采用开腹手术治疗。比较两组临床疗效。结果两组盆腔包块均消失,异位妊娠病症均得到治愈。察组手术时间、术中失血量、下床时间、排气时间、住院时间均优于对照组,差异有统计学意义(P<0.05)。此外观察组无术后并发症,对照组有9例出现术后发热,两组并发症发生率比较差异有统计学意义(P<0.05)。结论腹腔镜手术治疗异位妊娠能够有效缩短治疗时间、创伤小、恢复快、出血量小、安全性高,值得临床推广。
Objective To compare the clinical effects of laparoscopic surgery and laparotomy in the treatment of ectopic pregnancy. Methods 64 cases of ectopic pregnancy patients, divided into observation group and control group according to different treatment methods, each 32 cases. The observation group was given laparoscopic surgery and the control group was treated with laparotomy. The clinical efficacy of the two groups were compared. Results pelvic mass disappeared in both groups, ectopic pregnancy symptoms were cured. Operation time, intraoperative blood loss, bed time, exhaust time, hospital stay were better than the control group, the difference was statistically significant (P <0.05). In addition, there was no postoperative complications in the observation group. There were 9 cases of postoperative fever in the control group. There was significant difference in the incidence of complications between the two groups (P <0.05). Conclusion Laparoscopic treatment of ectopic pregnancy can effectively shorten the treatment time, trauma, rapid recovery, small amount of bleeding, high safety, worthy of clinical promotion.