CAJ | 학술논문

目的：观察腹腔镜手术和开腹手术治疗输卵管妊娠的效果。方法选择96例术前诊断为异位妊娠，术后病理诊断均明确诊断的急腹症患者。将其随机分为腹腔镜组和开腹组，每组48例。比较手术时间、术中出血时间、平均住院时间。结果腹腔镜组比开腹组的手术时间、术中出血时间、平均住院时间均缩短，差异有统计学意义（ P<0.05）。结论腹腔镜治疗有生育要求的妇科急腹症患者创伤小，安全有效，且能降低持续性异位妊娠的发生率，降低术后腹腔黏连发生率，提高术后妊娠率，值得临床推广应用。
목적：관찰복강경수술화개복수술치료수란관임신적효과。방법선택96례술전진단위이위임신，술후병리진단균명학진단적급복증환자。장기수궤분위복강경조화개복조，매조48례。비교수술시간、술중출혈시간、평균주원시간。결과복강경조비개복조적수술시간、술중출혈시간、평균주원시간균축단，차이유통계학의의（ P<0.05）。결론복강경치료유생육요구적부과급복증환자창상소，안전유효，차능강저지속성이위임신적발생솔，강저술후복강점련발생솔，제고술후임신솔，치득림상추엄응용。
Objective To observe and compare the effects of laparoscopic surgery and open surgery on tubal pregnancy. Methods Ninety-six cases of acute abdomen with postoperative pathological diagnosis of ectopic pregnancy were chosen and ran-domly divided into laparoscopy group and laparotomy group,with 48 cases in each group. The operation time,intraoperative bleeding time,average hospital stay was compared. Results Laparoscopy group had shorter operation time,shorter intraopera-tive bleeding time,shorter average hospitalization time. The differences between the two groups were statistically significant. Conclusion Laparoscopy in the treatment of ectopic pregnancy patients is safe and effective with small trauma,and can also re-duce the incidence of persistent ectopic pregnancy and the incidence of postoperative abdominal adhesion,improving the postop-erative pregnancy rate. It is worthy of clinical popularization and application.