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目的探讨腹腔镜治疗输卵管妊娠的临床应用价值。方法回顾性分析自2009年1月至2010年12月腹腔镜手术治疗28例输卵管妊娠及同期开腹手术治疗22例输卵管妊娠的临床资料,并对术中、术后情况进行对比分析。结果 28例患者手术均获成功,无1例中转开腹。腹腔镜组与开腹组比较患者的手术时间、术中出血量、术后肛门排气时间、术后活动时间、术后住院天数、均优于开腹组,两组差异有统计学意义(P<0.05)。结论腹腔镜治疗输卵管妊娠对腹腔干扰少、创伤小、术后恢复快,安全可靠,是输卵管妊娠首选的手术方式。
Objective To investigate the clinical value of laparoscopic tubal pregnancy. Methods The clinical data of 28 cases of tubal pregnancy treated by laparoscopic surgery from January 2009 to December 2010 were analyzed retrospectively. The clinical data of 22 cases of tubal pregnancy were compared and analyzed intraoperatively and postoperatively. Results All the 28 patients were successful in operation, none of them were converted to open surgery. Laparoscopic group and laparotomy group compared with surgery time, intraoperative blood loss, postoperative anal exhaust time, postoperative activity, postoperative hospital stay, were better than the open group, the difference between the two groups was statistically significant ( P <0.05). Conclusion Laparoscopic treatment of tubal pregnancy less celiac interference, less trauma, faster recovery, safe and reliable, is the preferred surgical treatment of tubal pregnancy.