腹腔镜在诊治异位妊娠中的临床效果研究.docVIP

精品论文 参考文献 腹腔镜在诊治异位妊娠中的临床效果研究 肖合小 　　茶陵县人民医院 412400 　　摘要：目的：探讨腹腔镜在诊治异位妊娠中的临床效果。方法：以本院本科2013年1月~2014年10月收治的异位妊娠患者100例为研究对象，将其随即分为实验组和对照组，每组各50例，实验组患者予以腹腔镜治疗，对照组患者予以开腹手术治疗，比较两组患者手术疗效及并发症发生情况，进行统计学分析。结果：实验组患者术中出血量、平均手术时间、肛门排气时间均低于对照组，差异具有统计学意义（P＜0.05）；实验组皮下气肿患者例数高于对照组，差无有统计学意义（P＞0.05）；实验组患者损伤出血患者例数和发生并发症患者总例数均低于对照组，差异具有统计学意义（P＜0.05）。结论：应用腹腔镜诊治异位妊娠患者，患者恢复快，手术时间短、出血量少，术后并发症少，值得在临床上推广。 　　关键词：异位妊娠；腹腔镜；疗效分析 　　Abstract：Objective：To investigate the laparoscopy in the diagnosis and treatment of ectopic pregnancy in clinical results.Methods：The hospital undergraduate January 2013 - October 2014 ectopic pregnancy were admitted to 100 cases for the study，which was then divided into an experimental group and a control group，50 patients in the experimental group of patients in each group to be laparoscopy treatment，the patients in the control group to be open surgery，two groups were compared surgery and complications were analyzed statistically.Results：The blood loss in patients in the experimental group，the mean operative time，flatus were lower than the control group，the difference was statistically significant（P lt;0.05）；the number of patients in the experimental group was higher subcutaneous emphysema，no difference there was statistically significant（Pgt; 0.05）；bleeding trauma patients in the experimental group the number of cases and the total number of cases occurred in patients with complications were lower than the control group，the difference was statistically significant（P lt;0.05）.Conclusion：Laparoscopic diagnosis and treatment of patients with ectopic pregnancy，patients recover faster，shorter operative time，less blood loss，fewer complications，should be promoted in clinical practice. 　　Keywords：ectopic pregnancy；laparoscopy；efficacy analysis 　　异位妊娠为较常见的妇产科急腹症之一，近年来随着人们生活习性和环境改变，其发病率明显上升[1]。异位妊娠主要包括卵巢妊娠、宫颈妊娠、腹腔妊娠及输卵管妊娠等，其中95%以上为输卵管妊娠【2】。临床上过去常采用开放手术治疗，但开放手术对患者创伤较大，不利于患者恢复；随着腹腔镜在临床上的广泛应用，临床上逐渐开展腹腔镜下治疗异位妊娠的手术，其具有微创、损伤小、美观等优点，患者恢复迅速，受到广大患者欢迎。为了探讨腹腔镜在异位妊娠中诊治的疗效，本次研以本院本科2013年1月