CAJ | 학술논문

目的：探讨在宫外孕的临床救治工作中实施腹腔镜手术、开腹手术治疗的安全性效果。方法对2011年至2013年我院收治的36例宫外孕患者进行随机数字表法分组，将实施开腹手术救治的16例患者设为对照组，将实施腹腔镜手术救治的20例患者设为观察组，比照与评价两组的临床救治效果。结果观察组的手术时间、肛门排气用时、留置尿管用时，以及术中出血量和住院天数等临床指标与对照组进行比较，差异具有显著性（P ＜0.05）。结论为宫外孕患者实施腹腔镜手术进行救治，相对于传统开腹手术而言，其能够有效缩短手术用时，控制术中出血情况，促使患者早日康复并出院，整体安全性高度理想、可靠，是今后医院单位提高临床疗效的关键，建议进一步普及与应用。
목적：탐토재궁외잉적림상구치공작중실시복강경수술、개복수술치료적안전성효과。방법대2011년지2013년아원수치적36례궁외잉환자진행수궤수자표법분조，장실시개복수술구치적16례환자설위대조조，장실시복강경수술구치적20례환자설위관찰조，비조여평개량조적림상구치효과。결과관찰조적수술시간、항문배기용시、류치뇨관용시，이급술중출혈량화주원천수등림상지표여대조조진행비교，차이구유현저성（P ＜0.05）。결론위궁외잉환자실시복강경수술진행구치，상대우전통개복수술이언，기능구유효축단수술용시，공제술중출혈정황，촉사환자조일강복병출원，정체안전성고도이상、가고，시금후의원단위제고림상료효적관건，건의진일보보급여응용。
Objective to investigate the implementation of the work in the clinical treatment of ectopic pregnancy laparoscopic surgery , open surgery of the safety effects. Methods 2011 to 2013 in our hospital 36 cases of ectopic pregnancy patients were randomly grouped to implement laparotomy treatment of 16 patients as the control group , the laparoscopic surgical treatment of 20 patients observed set group , and evaluation of clinical treatment effects cf the two groups . Results The operative time, flatus when used with indwelling catheter time and blood loss and the number of days in hospital clinical parameters were compared with the control group , the difference was significant (P <0.05). Conclusion the implementation of ectopic pregnancy laparoscopic surgery for treatment of patients , compared to traditional open surgery is concerned , it can effectively shorten the time of surgery , blood loss control , prompting a speedy recovery and the patient was discharged , the overall degree of ideal safe , reliable, future, the key to improving the clinical efficacy of hospital units , and recommended further popularization and application .