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目的研究腹腔镜手术、传统开腹手术在治疗宫外孕中的临床效果对比。方法 165例宫外孕患者随机分为试验组和对照组,其中试验组88例,对照组77例。试验组采用腹腔镜手术治疗宫外孕,对照组采用传统的开腹手术治疗宫外孕,比较两组患者在术中出血量、手术时间、尿管留置时间、肛门排气时间、下床活动时间、术后腹痛持续时间、住院时间及术后瘢痕等情况。结果试验组患者的术中出血量(35.71±12.78)ml及手术时间(36.44±10.57)min均少于对照组术中出血量(71.71±20.60)ml及手术时间(51.66±13.66)min,两组比较差异有统计学意义(P<0.05);试验组患者的尿管留置时间(10.62±3.36)h、肛门排气时间(19.13±5.12)h、术后腹痛持续时间(6.13±1.48)h、下床活动时间(8.16±2.28)h及住院时间(3.68±1.55)d均少于对照组尿管留置时间(29.98±7.16)h、肛门排气时间(48.21±9.12)h、术后腹痛持续时间(10.13±1.40)h、下床活动时间(28.96±5.46)h及住院时间(6.51±3.89)d,两组比较差异有统计学意义(P<0.05)。结论腹腔镜手术治疗宫外孕具有术中出血量少、手术时间短、术后住院时间短、恢复快等优点,优于传统开腹手术。
Objective To compare the clinical effects of laparoscopic surgery and traditional laparotomy in the treatment of ectopic pregnancy. Methods 165 cases of ectopic pregnancy were randomly divided into experimental group and control group, of which 88 cases in the experimental group and 77 cases in the control group. The experimental group received laparoscopic surgery for ectopic pregnancy and the control group received conventional laparotomy for ectopic pregnancy. The intraoperative blood loss, operation time, catheter indwelling time, anal exhaust time, ambulation time, Abdominal pain duration, hospital stay and postoperative scarring. Results The intraoperative blood loss (35.71 ± 12.78) ml and operation time (36.44 ± 10.57) min in the experimental group were all less than those in the control group (71.71 ± 20.60 ml) and operation time (51.66 ± 13.66) min, both (P <0.05). The catheter indwelling time (10.62 ± 3.36) h, anal venting time (19.13 ± 5.12) h, and postoperative abdominal pain duration (6.13 ± 1.48) h in the experimental group were significantly higher than those in the control group (8.16 ± 2.28) h and hospital stay (3.68 ± 1.55) d were less than those in control group (29.98 ± 7.16 h), anal exhaust time (48.21 ± 9.12) h, postoperative abdominal pain The duration of ambulation (28.96 ± 5.46) h and hospital stay (6.51 ± 3.89) d were significantly different between the two groups (P <0.05). Conclusion Laparoscopic surgery for ectopic pregnancy with less blood loss, shorter operative time, shorter postoperative hospital stay, faster recovery, superior to the traditional open surgery.