摘要
目的探讨腹腔镜手术与开腹手术治疗宫外孕的临床疗效及对术后患者受孕率的影响。方法选取231例宫外孕患者作为研究对象,其中行腹腔镜手术者(腹腔镜组)65例,行开腹手术者(开腹组)166例。比较2组术中及术后相关手术指标,同时对所有患者进行1年随访,比较2组输卵管通畅以及受孕情况。结果腹腔镜组手术时间、留置导管时间、肛门排气时间、下床活动时间、住院时间均显著短于开腹组,术中出血量少于开腹组(均P<0.01);腹腔镜组术后输卵管通畅率明显高于开腹组、输卵管通而不畅和不通率明显低于开腹组(P<0.05或P<0.01);腹腔镜组宫内妊娠率明显高于开腹组、未孕率明显低于开腹组(均P<0.01)。结论与传统开腹手术治疗宫外孕相比,腹腔镜手术治疗宫外孕创伤小、术后恢复快,术后1年宫内妊娠率与输卵管通畅率均明显上升。
Objective To investigate the effects of laparoscopic surgery and open surgery on ectopic pregnancy and postoperative pregnancy rate.Methods A total of 231 patients with ectopic pregnancy were assigned to receive either laparoscopic surgery(65patients)or open surgery(166patients).The operation-related indicators were observed during and after operation.All patients were followed up for 1year,and rates of tubal patency and pregnancy were compared between the two groups.Results Compared with open surgery,laparoscopic surgery shortened operation time,indwelling time,time to flatus,time to off-bed activity and length of hospital,reduced intraoperative blood loss and incidences of fallopian tube obstruction and non-pregnancy,and increased rates of tubal patency and pregnancy(P<0.05 or P<0.01).Conclusion Compared with open surgery,laparoscopic surgery can reduce trauma,promote postoperative recovery and increase rates of postoperative pregnancy and tubal patency in patients with ectopic pregnancy.
出处
《实用临床医学（江西）》
CAS
2017年第5期55-57,共3页
Practical Clinical Medicine
关键词
宫外孕
受孕率
腹腔镜手术
开腹手术
ectopic pregnancy
pregnancy rate
laparoscopic surgery
open surgery
