中国医药
中國醫藥
중국의약
CHINA MEDICINE
2011年
7期
845-846
,共2页
异位妊娠术%腹腔镜%应用分析
異位妊娠術%腹腔鏡%應用分析
이위임신술%복강경%응용분석
Ectopic pregnancy%Laparoscopic surgery%Applied Analysis
目的 探讨腹腔镜下异位妊娠手术的疗效及应用前景.方法 收集1586例腹腔镜手术的异位妊娠患者(输卵管妊娠1563例,其中间质部12例,卵巢妊娠23例)和1586例开腹手术的异位妊娠患者(输卵管妊娠1566例,卵巢妊娠18例,残角子宫妊娠2例)的临床资料,进行回顾性分析.结果 2腹腔镜组保留患侧输卵管者605例,术后3个月,子宫输卵管造影(HSG)检查,复通538例(88.93%),半年内妊娠233例(38.51%),1年内妊娠302例(49.92%).开腹组保留患侧输卵管者578例,术后3个月HSG检查,复通385例(66.61%),半年内妊娠96例(16.61%),1年内妊娠198例(34.26%).2组比较差异有统计学意义(P<0.05).2组患者在术中失血量、术后恢复、术后止痛药应用、住院时间及术后输卵管复通等差异有统计学意义.结论 腹腔镜下异位妊娠手术完全可安全有效用于临床,且具有创伤小、恢复快的特点.
目的 探討腹腔鏡下異位妊娠手術的療效及應用前景.方法 收集1586例腹腔鏡手術的異位妊娠患者(輸卵管妊娠1563例,其中間質部12例,卵巢妊娠23例)和1586例開腹手術的異位妊娠患者(輸卵管妊娠1566例,卵巢妊娠18例,殘角子宮妊娠2例)的臨床資料,進行迴顧性分析.結果 2腹腔鏡組保留患側輸卵管者605例,術後3箇月,子宮輸卵管造影(HSG)檢查,複通538例(88.93%),半年內妊娠233例(38.51%),1年內妊娠302例(49.92%).開腹組保留患側輸卵管者578例,術後3箇月HSG檢查,複通385例(66.61%),半年內妊娠96例(16.61%),1年內妊娠198例(34.26%).2組比較差異有統計學意義(P<0.05).2組患者在術中失血量、術後恢複、術後止痛藥應用、住院時間及術後輸卵管複通等差異有統計學意義.結論 腹腔鏡下異位妊娠手術完全可安全有效用于臨床,且具有創傷小、恢複快的特點.
목적 탐토복강경하이위임신수술적료효급응용전경.방법 수집1586례복강경수술적이위임신환자(수란관임신1563례,기중간질부12례,란소임신23례)화1586례개복수술적이위임신환자(수란관임신1566례,란소임신18례,잔각자궁임신2례)적림상자료,진행회고성분석.결과 2복강경조보류환측수란관자605례,술후3개월,자궁수란관조영(HSG)검사,복통538례(88.93%),반년내임신233례(38.51%),1년내임신302례(49.92%).개복조보류환측수란관자578례,술후3개월HSG검사,복통385례(66.61%),반년내임신96례(16.61%),1년내임신198례(34.26%).2조비교차이유통계학의의(P<0.05).2조환자재술중실혈량、술후회복、술후지통약응용、주원시간급술후수란관복통등차이유통계학의의.결론 복강경하이위임신수술완전가안전유효용우림상,차구유창상소、회복쾌적특점.
Objective To explore the effects and application prospect of the laparoscopic surgery in ectopic pregnancy.Methods The data of 1586 patients(1563 cases pregnancy in Fallopian tube,12 cases pregnancy ininterstitial portion of Fallopian tube,23 cases in ovarian)undergoing salpingectomy or salpingotomy with laparoscopically and another 1586 cases pregnancy in Fallopian tube having Sanle surgeries laparotomy were analyzed retrospectively.Results Ectopic pregnancy types,patients ages,avoirdupois,pregnancy or labor times between the two groups were not significantly different.Blood lost,analgesic drugs use,recovery after surgery were significantly different.The laparoscopy group had better outcomes than the laparotomy group.Conclusion The laparoseopic surgery is an efficient and safe therapy for ectopic pregnancy patients.
