中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2014年
33期
8-9
,共2页
异位妊娠%腹腔镜%开腹手术%术后受孕率
異位妊娠%腹腔鏡%開腹手術%術後受孕率
이위임신%복강경%개복수술%술후수잉솔
Ectopic pregnancy%Laparoscope%Open operation%Postoperative conception rate
目的：比较腹腔镜手术与开腹手术治疗异位妊娠的临床效果，寻找最佳手术治疗方式。方法选择符合标准的患者80例，随机分为观察组和对照组各40例，观察组采用腹腔镜手术，对照组采用传统开腹手术，比较手术效果。结果观察组患者手术时间（50.24±10.72）min，术中出血量（67.93±14.95）mL；对照组患者手术时间（82.39±15.80）min，术中出血量（99.14±20.83）mL；观察组患者手术时间及术中出血量均低于对照组，差异有统计学意义（P＜0.05）。观察组患者术后肛门排气时间、术后下床活动时间及术后住院时间均短于对照组，差异有统计学意义（P＜0.05）。观察组有生育要求保留输卵管者28例、对照组26例，术后输卵管通畅率及宫内妊娠率均高于对照组，差异有统计学意义（P＜0.05）。结论腹腔镜下手术治疗异位妊娠，具有手术创伤小、术后恢复快、术后宫内妊娠率高、异位妊娠复发率低，尤其适合有保留生育要的异位妊娠患者。
目的：比較腹腔鏡手術與開腹手術治療異位妊娠的臨床效果，尋找最佳手術治療方式。方法選擇符閤標準的患者80例，隨機分為觀察組和對照組各40例，觀察組採用腹腔鏡手術，對照組採用傳統開腹手術，比較手術效果。結果觀察組患者手術時間（50.24±10.72）min，術中齣血量（67.93±14.95）mL；對照組患者手術時間（82.39±15.80）min，術中齣血量（99.14±20.83）mL；觀察組患者手術時間及術中齣血量均低于對照組，差異有統計學意義（P＜0.05）。觀察組患者術後肛門排氣時間、術後下床活動時間及術後住院時間均短于對照組，差異有統計學意義（P＜0.05）。觀察組有生育要求保留輸卵管者28例、對照組26例，術後輸卵管通暢率及宮內妊娠率均高于對照組，差異有統計學意義（P＜0.05）。結論腹腔鏡下手術治療異位妊娠，具有手術創傷小、術後恢複快、術後宮內妊娠率高、異位妊娠複髮率低，尤其適閤有保留生育要的異位妊娠患者。
목적：비교복강경수술여개복수술치료이위임신적림상효과，심조최가수술치료방식。방법선택부합표준적환자80례，수궤분위관찰조화대조조각40례，관찰조채용복강경수술，대조조채용전통개복수술，비교수술효과。결과관찰조환자수술시간（50.24±10.72）min，술중출혈량（67.93±14.95）mL；대조조환자수술시간（82.39±15.80）min，술중출혈량（99.14±20.83）mL；관찰조환자수술시간급술중출혈량균저우대조조，차이유통계학의의（P＜0.05）。관찰조환자술후항문배기시간、술후하상활동시간급술후주원시간균단우대조조，차이유통계학의의（P＜0.05）。관찰조유생육요구보류수란관자28례、대조조26례，술후수란관통창솔급궁내임신솔균고우대조조，차이유통계학의의（P＜0.05）。결론복강경하수술치료이위임신，구유수술창상소、술후회복쾌、술후궁내임신솔고、이위임신복발솔저，우기괄합유보류생육요적이위임신환자。
Objective To compare the clinical effect of laparoscopic operation vs. open operation in the treatment of ectopic preg-nancy so as to search for the best operation way. Methods 80 eligible patients were selected and randomly divided into observation group and control group, with 40 patients in each group. The observation group used laparoscopic operation, while the control group used traditional open operation, and the effects were compared. Results The operative time and intra-operative blood loss in the patients of the observation group was (50.24±10.72) min and (67.93±14.95) ml, respectively, while that in the patients of the control group was (82.39±15.80) min and (99.14±20.83) ml, respectively. The operative time and intra-operative blood loss in the patients of the observation group were both less than those of the control group, and the differences were statistically significant (P<0.05). The patients of the observation group had shorter postoperative time for passage of gas by anus and out-of-bed activity, and postoperative length of stay than those of the control group, and the differences were statistically significant ( P<0.05). Twenty-eight patients of the observation group and twenty-six patients of the control group required to keep fallopian tubes, but the post-operative patency rate of fallopian tubes and intrauterine gestation rate in the patients of the observation group were both higher than those of the control group, and the differences were statistically significant (P<0.05). Conclusion Laparoscopic operation for the treatment of ectopic pregnancy has advantages of smaller operation wound, rapider postoperative recovery, higher rate of post-operative intrauterine gestation, and lower recurrence rate of ectopic pregnancy, and is especially applicable for the ectopic preg-nancy patients requiring preservation of fertility.
