腹腔镜治疗异位妊娠并发失血性休克临床研究.pdfVIP

实用预防医学 2008年2月 第15卷 第 1期 Practical Preventive Medicine，Feb 2008，Vol 15，No．1 179 文章编号：1006—3110(2008)O1一O179一O2 腹腔镜治疗异位妊娠并发失血性休克临床研究 应惠芬 摘要： 目的 探讨腹腔镜治疗异位妊娠并发失血性休克的临床效果及应用价值。 方法 选取96例异位妊娠并 发失血性休克患者，随机分为腹腔镜组和传统手术组。腹腔镜组采取腹腔镜手术进行治疗，传统手术组采取开腹手术进 行治疗。对两组患者手术时间、出血量、术后疼痛评分、排气时间及住院时间等情况进行综合比较。 结果 两组患者术 中均无并发症，无死亡病例；腹腔镜组手术时间、出血量、术后疼痛评分、排气时间及住院时间等指标均明显低于传统手术 组，差异有统计学意义(P0．01)。 结论 腹腔镜手术治疗异位妊娠并发失血性休克具有切口小、手术时间短、出血 少、术后恢复快、住院时间短等优点，是安全、可行的，值得临床推广。 关键词：腹腔镜；异位妊娠；失血性休克 中图分类号：R714．2 文献标识码：A Clinical Study on Laparoscopy in Treatment of Ectopic Pregnancy with Hemorrhagic Shock YING Hui—fen(Department of Obstetrics and Gynecology，People’S Hospital ofXianyu County，Xianyu 317300，Zhejiang) Abstract： Objective To study the clinical efficacy and value of laparoscopy in the management of ectopic pregnancy with hemorrhagic shock． Methods Ninety—six patients with ectopic pregnancy complicated hemorrhagic shock were ran- domly divided into laparoscopy group which received laparoscopic surgery treatment and traditional surgery group which re- ceived traditional surgery treatment．Comprehensive comparison of operation time，amount of bleeding，postoperative pain score，and hospital stay was conducted between the 2 groups of patients． Results Both groups of patients had no compli— cations and／or death．Operation time，amount of bleeding，postoperative pain score，and hospitalization stay of the laparo— scopic surgery group were significantly lower than those of the traditional surgery group，and the difference was statistically significant(P0．0 1)． Conclusions Laparoscopy has the benefit of mini—incision，shorter operative time，less blood loss，quick recurrence，and shorter hospital stay in the treatment of ectopic pregnancy with hemorrhagic shock．It is safe， feasible，and worthy of clinical promo