摘要
目的:通过对腹腔镜与开腹手术治疗输卵管妊娠的疗效分析,比较两种术式的优缺点。方法:216例需手术治疗的输卵管妊娠患者,随机分为腹腔镜组155例,开腹组61例,比较两组的手术时间、术中出血量、术后肛门排气时间、镇痛剂和抗生素应用,以及住院日、住院费用、血-βHCG转阴天数等。结果:两组患者的手术时间、血β-HCG转阴天数、差异无显著性(P>0.05),术中出血量、住院天数、保留尿管天数、肛门排气时间、术后镇痛剂、抗生素应用两组相比差异有显著性(P<0.05)。结论:腹腔镜手术治疗输卵管妊娠与开腹手术相比,不但能起到开腹手术同样效果,而且具有创伤小、切口美观、恢复快、临床疗效肯定等优点,具有明显优越性。
Objective：To investigate the clinical effect and advantage of laparoscopy on treatment of tubal pregnancy. Methods. 216 cases of operative tubal pregnancy were retrospectively analysed in hospital from Jannary 2004 to december 2007 including 155 cases of Laparoscopy and 61 laparctomy, compared the operation time, blood loss transfusion, time of anus exsufflation.postoperation analgesia and antibiotics, hospital resources and so on. Results. There were no significance in operation time and i3-HCG desent between two groups （P〉0.05）, but in the blood loss transfusion, rehahititation time the days of hospitalzatim after operatin in laparoscopic group were significanty less than those in laparctomy group（P〈 0. 05）. Conclusion： Operative laparoscopy for tubal pregnancy has more benefits than laparctomy in the aspects of small wound scarless.little pain and beauty quick recouery etc. It has becoming the routineand first choice in big cities in china especially for young women who wanted baby in future.
出处
《数理医药学杂志》
2008年第3期291-293,共3页
Journal of Mathematical Medicine
