腹腔镜及开腹手术治疗宫外孕疗效分析.doc

腹腔镜及开腹手术治疗宫外孕疗效分析[摘要] 目的:对比分析腹腔镜和开腹手术治疗宫外孕的效果。方法:将2008年1月～2009年12月132例在我科行宫外孕手术的患者随机分为两组,行腹腔镜手术者67例设为观察组,行开腹手术者65例设为对照组。比较两组手术时间、术中出血量、留置尿管时间、肛门排气时间、下床活动时间、住院日、术后发热、手术并发症及术后输卵管通畅情况。结果:观察组具有手术时间短、术中出血少、术后恢复快和无明显并发症等优点。结论:腹腔镜手术治疗宫外孕是安全的,手术损伤小又可保留生育功能,患者受益大。 [关键词] 宫外孕;腹腔镜;开腹手术 [中图分类号] R714.22[文献标识码]A [文章编号]1673-7210(2010)05(c)-043-02 Effect analysis of laparoscopic surgery and laparotomy on the treatment of ectopic pregnancy LIU Huifen, JI Yanqin, HUANG Fengying, XIAO Yong (Department of Gynecology and Obstetrics, the Central People′s Hospital of Huizhou City, Huizhou 516001, China) [Abstract] Objective: To compare the effects of laparoscopy and laparotomy on the treatment of ectopic pregnancy. Methods: 132 patients with ectopic pregnancy were divided into two groups, the observed group was 67 cases with laparoscopy and control group was 65 cases with laparotomy. Operating time, blood loss during operations, the time of stay ureter and leaving bed, the period of pass gas, the case of fever, complications and the passage of oviducts after operations were observed between two groups. Results: The observed group had many advantages, such as short time of operations, less blood loss during operation, recover sooner after operations and unapparent complications. Conclusion: Laparoscopy is safe and less damage to patients with ectopic pregnancy than laparotomy, and more suitable for the patients who have desire for further fertilization. It is benefit for patients. [Key words] Ectopic pregnancy; Laparoscopy; Laparotomy 宫外孕是妇科常见急腹症之一,近年来其发病率逐年上升,且发病年龄年轻化,尤其未婚及已婚未育者发生率更是逐年升高。由于腹腔镜技术的提高,腹腔镜技术治疗宫外孕,具有手术损伤小、恢复快,几乎代替传统的开腹手术。本文中笔者将我科2008年1月～2009年12月行宫外孕手术132例患者的临床资料进行回顾性分析,比较开腹手术和腹腔镜手术的疗效及优越性。现报道如下: 1 资料与方法 1.1 一般资料 选择2008年1月～2009年12月在我科行宫外孕手术的患者132例,随机分为两组,行腹腔镜手术者67例设为观察组,行开腹手术者65例设为对照组。观察组67例中,年龄18～43岁,平均(28.2±5.6)岁;经产妇23例,未产妇44例;45例有人工流产史;输卵管壶腹部妊娠45例,伞端妊娠10例,峡部妊娠10例,间质部妊娠2例。对照组65例中,年龄23～46岁,平均(32.3±4.9)岁;经产妇42例,未产妇23例;46例有人工流产史;输卵管壶腹部妊娠40例,伞端妊娠7例