CAJ | 학술논문

目的探讨腹腔镜保守性手术在有生育要求的休克型异位妊娠治疗中的效果及再妊娠结局.方法回顾性分析142例行保守性手术治疗的有生育要求的异位妊娠患者,其中通过腹腔镜手术78例,开腹手术64例,比较两组手术时间,出血情况,术后排气时间,腹痛消失时间,住院天数,并随访输卵管通畅及受孕情况.结果腹腔镜组手术时间、排气时间、腹痛消失时间、住院天数均短于开腹组,差异具有统计学意义(P＜0.05);两组术中出血、术后输卵管通畅情况之间差异无统计学意义(P＞0.05),腹腔镜组患者再妊娠率明显高于开腹组,差异具有统计学意义(P＜0.05).结论腹腔镜治疗休克型异位妊娠患者是安全及可行的,并且能够显著提高再妊娠率.对于有生育要求的休克型异位妊娠患者,腹腔镜保守性手术应为首选.
목적 탐토복강경보수성수술재유생육요구적휴극형이위임신치료중적효과급재임신결국.방법 회고성분석142례행보수성수술치료적유생육요구적이위임신환자,기중통과복강경수술78례,개복수술64례,비교량조수술시간,출혈정황,술후배기시간,복통소실시간,주원천수,병수방수란관통창급수잉정황.결과 복강경조수술시간、배기시간、복통소실시간、주원천수균단우개복조,차이구유통계학의의(P＜0.05);량조술중출혈、술후수란관통창정황지간차이무통계학의의(P＞0.05),복강경조환자재임신솔명현고우개복조,차이구유통계학의의(P＜0.05).결론 복강경치료휴극형이위임신환자시안전급가행적,병차능구현저제고재임신솔.대우유생육요구적휴극형이위임신환자,복강경보수성수술응위수선.
Objective To explore the effects and repregnant outcomes of laparoscopy conservative operation on the patients with hemorrhagic shock due to ectopic pregnancy who desired for fertility.Methods The clinical data resulting from 142 patients with ectopic pregnancy treated by conservative operation were retrospectively analyzed,including 78 cases of laparoscopy and 64 cases of laparotomy,compared the operation time,blood loss,time of anus exsufflation,extinction time of abdominal pain,hospital days after operations,and followed up the uterine tube recanalization and androlepsis.Results The operation time,time of anus exsufflation,extinction time of abdominal pain,and hospital days after operations of laparoscopy were shorter than those of laparotomy,the differences had statistical significance(P ＜ 0.05).The differences of blood loss and uterine tube recanalization between the two groups didn' t have statistical significance(P ＞ 0.05).The repreganancy rate of laparoscopy was obviously higher than that of laparotomy,the difference had statistical significance(P ＜ 0.05).Conclusion Laparoscopic procedure is safe and feasible in management of patients with hemorrhagic shock due to ectopic pregnancy,and can raise the repregnancy rate.For those patients,the laparoscopy conservative operation was the first choice.