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目的探讨输卵管妊娠患者经腹腔镜下保守性手术治疗后输卵管的通畅情况。方法选择2011年3月—2012年12月收治的80例输卵管妊娠患者为研究对象,随机分为腹腔镜组和开腹组各40例,腹腔镜组患者进行腹腔镜保守治疗,对照组给予传统开腹手术治疗,观察两组患者的临床疗效及输卵管通畅情况。计量资料采用t检验,计数资料采用χ2检验,P<0.05为差异有统计学意义。结果腹腔镜手术组患者的手术时间(35.5±3.6)min、术中出血量(352.6±12.9)ml、住院时间(4.2±1.5)d均明显低于开腹手术组[(45.6±5.4)min、(405.2±13.5)ml、(7.1±2.3)d],差异均有统计学意义(t=9.8425、17.8126、6.6795,均P<0.05);腹腔镜组半年内复发率((2.50%)低于开腹手术组(7.50%),整体输卵管通畅性(70.00%)优于开腹手术组(57.50%),但差异均无统计学意义(均P>0.05)。结论与开腹手术相比,腹腔镜下保守性手术治疗输卵管妊娠具有创伤小、并发症少、盆腔粘连轻、术后恢复快、输卵管再通率高等优势,值得推广使用。
Objective To investigate the tubal patency after laparoscopic conservative surgery in patients with tubal pregnancy. Methods Eighty patients with tubal pregnancy admitted to our hospital from March 2011 to December 2012 were selected and randomly divided into laparoscopic group and laparotomy group of 40 cases. Laparoscopic conservative treatment was performed in laparoscopic group and traditional Open surgery, observe the clinical efficacy and tubal patency in both groups. Measurement data using t test, count data using χ2 test, P <0.05 for the difference was statistically significant. Results The operative time (35.5 ± 3.6) min, the amount of bleeding during operation (352.6 ± 12.9) ml and the hospital stay (4.2 ± 1.5) days in laparoscopic surgery group were significantly lower than those in open surgery group [(45.6 ± 5.4) min , (405.2 ± 13.5) ml, (7.1 ± 2.3) d], the differences were statistically significant (t = 9.8425,17.8126,6.6795, all P < In the open surgery group (7.50%), the overall tubal patency (70.00%) was superior to the open surgery group (57.50%), but the differences were not statistically significant (all P> 0.05) .Conclusions Compared with open surgery Laparoscopic surgical treatment of tubal pregnancy with less trauma, fewer complications, pelvic adhesions, postoperative recovery fast, tubal recanalization rate advantages, it is worth promoting the use of.