CAJ | 학술논문

目的：对腹腔镜在治疗急诊异位妊娠方面的疗效进行临床分析。方法本研究选取2011年1月～2014年1月异位妊娠就诊于我院急诊科的患者39例，所有患者均给予腹腔镜下手术治疗，具体手术方法根据术中所见选择。手术过程中，记录患者出血量、手术治愈情况、术后病理回报结果以及平均住院日。通过分析数据得出结论。结果入选患者术中出血量为（10.12±2.36）mL，差异具有统计学意义（P＜0.05）。手术治愈率达100%，差异具有统计学意义（P＜0.05）。术后病理均回报为异位妊娠。平均住院日在（5.15±1.21）天，差异具有统计学意义（P＜0.05）。结论腹腔镜治疗异位妊娠疗效良好，病灶清除率高。术中创伤面积小，安全性高。患者术后身体恢复快，缩短了患者的平均住院日。腹腔镜是目前异位妊娠首选的治疗方式。
목적：대복강경재치료급진이위임신방면적료효진행림상분석。방법본연구선취2011년1월～2014년1월이위임신취진우아원급진과적환자39례，소유환자균급여복강경하수술치료，구체수술방법근거술중소견선택。수술과정중，기록환자출혈량、수술치유정황、술후병리회보결과이급평균주원일。통과분석수거득출결론。결과입선환자술중출혈량위（10.12±2.36）mL，차이구유통계학의의（P＜0.05）。수술치유솔체100%，차이구유통계학의의（P＜0.05）。술후병리균회보위이위임신。평균주원일재（5.15±1.21）천，차이구유통계학의의（P＜0.05）。결론복강경치료이위임신료효량호，병조청제솔고。술중창상면적소，안전성고。환자술후신체회복쾌，축단료환자적평균주원일。복강경시목전이위임신수선적치료방식。
Objective Clinical analysis of laparoscopic pregnancy curative effect in the treatment of emergency ectopic. Methods This study selected in 2011 January to 2014 January for 39 cases of ectopic pregnancy treated in the emergency department of our hospital patients, all patients were given the treatment of laparoscopic operation, the speciifc operation method according to the selection of surgery. In the process of operation, bleeding volume,operation records of patients cured, postoperative pathological result of the return and the average hospitalization days. Through the analysis of the data to draw the conclusion. Results In the patients with bleeding was (10.12±2.36) mL, with significant difference (P<0.05). The cure rate of operation was 100%, with signiifcant difference (P<0.05). The postoperative pathology were rewarded for ectopic pregnancy. The average hospitalization days in (5.15 ±1.21) d, with signiifcant difference (P<0.05). Conclusion Laparoscopic treatment of ectopic pregnancy curative effectis good, high rate of clearance of focal lesion. Intraoperative small wound area, high safety. Patients with postoperative body recovered quickly, shortening the average hospitalization days of patients. Laparoscopy is currently the preferred treatment for ectopic pregnancy.