腹腔镜治疗异位妊娠效果及其对术后患者受孕率影响.docVIP

腹腔镜治疗异位妊娠效果及其对术后患者受孕率影响 　　[摘要]目的 探讨腹腔镜治疗异位妊娠的效果及其对术后患者受孕率的影响。方法 选取2011年1月～2016年1月我院收治的异位妊娠患者118例为研究对象，采用随机数字表法将其分为研究组和对照组，每组各59例。对照组患者接受开腹手术治疗，研究组患者接受腹腔镜手术治疗，术后随访时间为1年。比较两组的治疗效果以及受孕率。结果 研究组和对照组的手术时间分别为（43.57±12.68）min和（71.32±15.91）min，术中出血量分别为（45.68±5.80）ml和（165.30±17.14）ml，组间差异有统计学意义（P0.05）；研究组患者肛门排气时间、导尿管留置时间、下床时间以及住院时间均短于对照组，差异有统计学意义（P0.05）；研究组1年后宫内受孕率为74.58%，明显高于对照组的45.76%，差异有统计学意义（P0.05）。结论 较传统开腹手术，腹腔镜手术对异位妊娠患者造成的创伤更小，患者术后恢复更快，且可以显著提高患者受孕率，适合推广应用。 　　[关键词]异位妊娠；腹腔镜手术；开腹手术；受孕率 　　[中图分类号] R714.22 [文献标识码] A [文章编号] 1674-4721（2017）06（b）-0080-03 　　[Abstract]Objective To investigate the effect of laparoscope in treatment of ectopic pregnancy and its influence on the postoperative pregnancy rate.Methods Altogether 118 patients with ectopic pregnancy who were treated in our hospital from January 2011 to January 2016 were selected and divided into study group and control group by random number table method，with 59 cases in each group.The control group was treated with laparotomy；while，the study group was treated with laparoscopic surgery；through 1-year postoperative follow-up，the treatment effectiveness and pregnancy rate of two groups were compared.Results The duration of surgery of study group and control group was （43.57±12.68） min and （71.32±15.91） min respectively；the intraoperative blood loss of study group and control group was （45.68±5.80） ml and （165.30±17.14） ml，with significant differences between the two groups （P0.05）；the anal exhaust time，catheter indwelling time，ambulation time and hospitalization time of the study group were shorter than those of the control group （P0.05）；the intrauterine pregnancy rate of the study group at 1-year postoperative was 74.58%，higher than that of the control group（45.76%），the pregnancies of the two group has statistically significant difference （P0.05）.Conclusion Compared with traditional laparotomy，laparoscopic surgery has less traumatic and faster in postoperative recovery for ectopic pregnancy patients，and can significan