CAJ | 학술논문

目的：比较腹腔镜治疗宫外孕及与开腹手术的临床疗效。方法选择2012年10月-2013年12月医院治疗的宫外孕患者116例，按照治疗方法分为对照组及观察组各58例。观察组采用腹腔镜手术治疗，对照组采用常规开腹手术治疗，比较2组术中及术后情况、恢复情况、临床疗效。结果术中及术后情况：观察组手术时间、肛门排气时间、留置导尿管时间、下床活动时间及平均住院时间均短于对照组，术中出血量少于对照组，比较差异有统计学意义（P ﹤0.05）。恢复情况：观察组患者恢复家务时间、恢复工作时间及恢复性生活时间均短于对照组，比较差异有统计学意义（P ﹤0.05）。临床疗效：观察组宫内妊娠率高于对照组，自然流产率及异位妊娠率低于对照组（ P ﹤0.05）。结论宫外孕患者采用腹腔镜手术治疗效果明显优于开腹手术，对患者造成的创伤小，能快速恢复，适用于有保留生育功能愿望的患者。
목적：비교복강경치료궁외잉급여개복수술적림상료효。방법선택2012년10월-2013년12월의원치료적궁외잉환자116례，안조치료방법분위대조조급관찰조각58례。관찰조채용복강경수술치료，대조조채용상규개복수술치료，비교2조술중급술후정황、회복정황、림상료효。결과술중급술후정황：관찰조수술시간、항문배기시간、류치도뇨관시간、하상활동시간급평균주원시간균단우대조조，술중출혈량소우대조조，비교차이유통계학의의（P ﹤0.05）。회복정황：관찰조환자회복가무시간、회복공작시간급회복성생활시간균단우대조조，비교차이유통계학의의（P ﹤0.05）。림상료효：관찰조궁내임신솔고우대조조，자연유산솔급이위임신솔저우대조조（ P ﹤0.05）。결론궁외잉환자채용복강경수술치료효과명현우우개복수술，대환자조성적창상소，능쾌속회복，괄용우유보류생육공능원망적환자。
Objective To compare the clinical efficacy of laparoscopic and open surgery for ectopic pregnancy. Meth-ods 116 cases of patients with ectopic pregnancy were collected in our hospital from October 2012 to December 2013 and di-vided into control group and treatment group according to the treatment method,each of 58 cases. The observation group re-ceived laparoscopic surgery,while the control group received conventional open surgery. The intraoperative and postoperative conditions,recovery,clinical efficacy were compared. Results Intraoperative and postoperative conditions:the operative time, anal exhaust time,indwelling catheter time,ambulation and the average length of stay in observation group were shorter than the control group,and the blood loss of which was less than the control group,the differences were statistically significant(P ﹤0. 05). Recovery:The recover housework time,recovery sexual life time and recovery work life time were shorter than the con-trol group,the differences were statistically significant(P ﹤ 0. 05). Clinical efficacy:The intrauterine pregnancy rate in obser-vation group was higher than the control group,the spontaneous abortion and ectopic pregnancy rate were lower than the control group,the differences were statistically significant(P ﹤ 0. 05). Conclusion The laparoscopic surgery is better than open sur-gery for ectopic pregnancy,with smaller trauma and quicker recover,which is suitable for patients desiring to preserve fertility.