浙江创伤外科
浙江創傷外科
절강창상외과
ZHEJIANG JOURNAL OF TRAUMATIC SURGERY
2014年
2期
185-187
,共3页
腹腔镜手术%开腹手术%宫外孕%宫内妊娠
腹腔鏡手術%開腹手術%宮外孕%宮內妊娠
복강경수술%개복수술%궁외잉%궁내임신
Laparoscopic surgery%Laparotomy%Ectopic pregnancy%Intrauterine pregnancy
目的：比较宫外孕腹腔镜保守手术与传统开腹保守手术后宫内妊娠率。方法随访因宫外孕行腹腔镜保守手术及开腹保守手术治疗，且术后有生育要求患者共100例。其中腹腔镜组48例，开腹手术组52例。随访时间6年。结果腹腔镜手术患者手术时间（31.66±3.58）分钟、术中出血量（51.84±4.20）ml、肛门排气时间（9.66±1.75）小时、下床活动时间（5.4±1.09）小时明显少于开腹手术组，差异有统计学差异（P＜0.01）。行急诊腹腔镜治疗的患者手术时间（33.25±5.17）分钟、术中出血量（68.48±12.45）ml、肛门排气时间（5.8±1.119）小时、下床活动时间（3.12±0.89）小时明显少于开腹手术组，差异有统计学差异（P＜0.01）。腹腔镜组术后宫内妊娠31例，开腹手术组术后宫内妊娠21例，差异有统计学差异（P＜0.01）。急诊腹腔镜组术后宫内妊娠8例，急诊开腹手术组术后宫内妊娠9例，差异没有统计学差异（P>0.05）。结论腹腔镜手术后较传统手术后，有较高的宫内妊娠率，对于择期手术患者应选择腹腔镜手术。
目的：比較宮外孕腹腔鏡保守手術與傳統開腹保守手術後宮內妊娠率。方法隨訪因宮外孕行腹腔鏡保守手術及開腹保守手術治療，且術後有生育要求患者共100例。其中腹腔鏡組48例，開腹手術組52例。隨訪時間6年。結果腹腔鏡手術患者手術時間（31.66±3.58）分鐘、術中齣血量（51.84±4.20）ml、肛門排氣時間（9.66±1.75）小時、下床活動時間（5.4±1.09）小時明顯少于開腹手術組，差異有統計學差異（P＜0.01）。行急診腹腔鏡治療的患者手術時間（33.25±5.17）分鐘、術中齣血量（68.48±12.45）ml、肛門排氣時間（5.8±1.119）小時、下床活動時間（3.12±0.89）小時明顯少于開腹手術組，差異有統計學差異（P＜0.01）。腹腔鏡組術後宮內妊娠31例，開腹手術組術後宮內妊娠21例，差異有統計學差異（P＜0.01）。急診腹腔鏡組術後宮內妊娠8例，急診開腹手術組術後宮內妊娠9例，差異沒有統計學差異（P>0.05）。結論腹腔鏡手術後較傳統手術後，有較高的宮內妊娠率，對于擇期手術患者應選擇腹腔鏡手術。
목적：비교궁외잉복강경보수수술여전통개복보수수술후궁내임신솔。방법수방인궁외잉행복강경보수수술급개복보수수술치료，차술후유생육요구환자공100례。기중복강경조48례，개복수술조52례。수방시간6년。결과복강경수술환자수술시간（31.66±3.58）분종、술중출혈량（51.84±4.20）ml、항문배기시간（9.66±1.75）소시、하상활동시간（5.4±1.09）소시명현소우개복수술조，차이유통계학차이（P＜0.01）。행급진복강경치료적환자수술시간（33.25±5.17）분종、술중출혈량（68.48±12.45）ml、항문배기시간（5.8±1.119）소시、하상활동시간（3.12±0.89）소시명현소우개복수술조，차이유통계학차이（P＜0.01）。복강경조술후궁내임신31례，개복수술조술후궁내임신21례，차이유통계학차이（P＜0.01）。급진복강경조술후궁내임신8례，급진개복수술조술후궁내임신9례，차이몰유통계학차이（P>0.05）。결론복강경수술후교전통수술후，유교고적궁내임신솔，대우택기수술환자응선택복강경수술。
Objective To compare the rate of intrauterine pregnancy after ectopic pregnancy treated with laparoscopic surgery or traditional open surgery. Methods 100 cases with fertility requirements after ectopic pregnancy treated with laparoscopic surgery or open surgery were fol-lowed up for 6 years, 48 cases were treated with laparoscopic, 52 cases with open surgery. Results The operative time (31.66 ± 3.58) min, blood loss (51.84 ± 4.20) ml, flatus time(9.66 ± 1.75) h, ambulation time (5.4 ± 1.09) h in laparoscopic surgery group were significantly less than that in open surgery group(P<0.01). The operative time(33.25 ± 5.17) min, blood loss (68.48 ± 12.45) ml, flatus (5.8 ± 1.119) h, ambulation (3.12 ± 0.89) h in patients underwent emergency treated with laparoscopic surgery were significantly less in the open surgery group ( P<0.01). 31 cases had intrauterine pregnancy in laparoscopic surgery group, 21 cases in the open surgery group, there were significantly difference (P<0.01). 8 cases had in-trauterine pregnancy in emergency laparoscopic group ,9 cases in the emergency open group, there was no statistically significant difference (P>0.05). Conclusions The rate of intrauterine pregnancy after ectopic pregnancy treated with laparoscopic surgery was higher than that with traditional open surgery.
