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目的探讨诊治输卵管妊娠过程中腹腔镜术的应用价值。方法 126例输卵管妊娠患者,随机分为观察组(70例)和对照组(56例)。分别采用腹腔镜和开腹术进行治疗。对两组患者术中、术后的各项指标进行对比分析。结果观察组手术时间为(36.9±17.2)min,短于对照组的(52.1±16.8)min;观察组术中出血量为(51.0±3.2)ml,少于对照组的(163.0±40.7)ml,差异均具有统计学意义(P<0.05)。观察组血人绒毛膜促性腺激素(β-HCG)转阴时间、术后排气时间及住院时间均明显短于对照组,差异具有统计学意义(P<0.05)。结论使用腹腔镜术对输卵管妊娠患者进行保守治疗可获得良好的效果,与开腹术相比具有明显的优势,是值得在临床上推广使用的手术方法。
Objective To investigate the value of laparoscopy in the diagnosis and treatment of tubal pregnancy. Methods 126 cases of tubal pregnancy were randomly divided into observation group (70 cases) and control group (56 cases). Laparoscopy and laparotomy were used for treatment. The two groups of patients during surgery, postoperative indicators for comparative analysis. Results The operation time in the observation group was (36.9 ± 17.2) min, shorter than that in the control group (52.1 ± 16.8) min. The intraoperative blood loss in the observation group was (51.0 ± 3.2) ml less than that in the control group (163.0 ± 40.7) ml , The differences were statistically significant (P <0.05). In the observation group, blood chorionic gonadotropin (β-HCG) negative conversion time, postoperative exhaust time and hospitalization time were significantly shorter than the control group, the difference was statistically significant (P <0.05). Conclusion Laparoscopic surgery for tubal pregnancy in patients with conservative treatment can get good results, and open surgery has obvious advantages, is worth in the clinical application of surgical methods.