腹腔镜下宫外孕手术和开腹宫外孕手术比较探讨.docVIP

腹腔镜下宫外孕手术和开腹宫外孕手术比较探讨 　　【摘要】 目的：探讨并对比腹腔镜手术与传统开腹手术治疗宫外孕的临床疗效。方法：选取本科2014年1月-2015年3月收治的98例宫外孕患者作为研究对象，按照入院时间顺序及随机数表法将98例患者分为对照组45例和观察组53例。对照组采用传统开腹手术治疗宫外孕，观察组采用腹腔镜治疗宫外孕。比较两组患者平均手术时间、术中出血量、术后肛门排气时间、导尿管留置时间、术后下床时间、手术并发症、住院时间及住院花费。结果：观察组患者的平均手术时间、术后肛门排气时间、术后下床时间、术后住院时间均明显短于对照组，平均术中出血量、平均住院花费均明显少于对照组，差异均有统计学意义（P0.05）。观察组患者的术后并发症发生率3.8%明显低于对照组的20.0%，差异有统计学意义（ 字2=6.431，P=0.011）。结论：腹腔镜下治疗宫外孕有较大的优势，具体体现在手术较安全、损伤性小、术后易恢复且并发症较少等优势，是宫外孕治疗的较好方法，值得临床推广。 　　【关键词】 腹腔镜； 开腹手术； 宫外孕 　　Comparison and Discussion of Laparoscopic Surgery and Laparotomy in the Treatment of Ectopic Pregnancy/SU Mei-xian，YANG Yu-xiu，LI Feng-qiao，et al.//Medical Innovation of China，2016，13（09）：117-120 　　【Abstract】 Objective：To investigate and compare the clinical efficacy of laparoscopic surgery and traditional open surgery in the treatment of ectopic pregnancy.Method：A total of 98 patients with ectopic pregnancy in our department from January 2014 to March 2015 were selected as the research objects，according to the chronological order of admission and a random number table method，98 patients were divided into the control group for 45 cases and the observation group for 53 cases.The control group was treated with traditional open surgery to cure ectopic pregnancy.The observation group was treated with laparoscopic surgery to cure ectopic pregnancy.The mean operative time，intraoperative blood loss，postoperative anal exhaust time，catheter indwelling time，postoperative ambulation time，postoperative complications，length of stay and hospital costs between the two groups were compared.Result：The mean operative time，postoperative anal exhaust time，postoperative ambulation time and length of stay in the observation group were significantly shorter than those in the control group，the intraoperative blood loss and hospital costs of the observation group were significantly less than those of the control group，the differences were statistically significant（P0.05）.The incidence of postoperative complications in the obse