经阴道宫腔镜手术治疗输卵管妊娠临床观察及护理.docx

经阴道宫腔镜手术治疗输卵管妊娠临床观察及护理 潘小平桂筱玲陈丽玲 （解放军第184医院妇产科 江西鹰潭335000） 【摘要】目的 探讨经阴道宫腔镜手术治疗输卵管妊娠的疗效及临床护理要 点。方法 将我院68例输卵管妊娠患者按不同的手术方法术分为研究组36例和 对照组32例。研究组行经阴道宫腔镜手术；对照组行腹腔镜手术。两组术后临 床效果观察及护理进行分析。结果 研究组患者术后疼痛（0- I级），术后排气 时间、术后病率、住院费用与对照组比较差异均有统计学意义（均P<0.05）,研 究组患者手术时间、术中出血量、住院时间与对照组比较差异均无统计学意义（均 P<0.05）o结论经阴道宫腔镜手术治疗输卵管妊娠有较好的疗效，且符合微创 要求、安全性更高，是一种治疗异位妊娠较理想的手术方式。 【关键词】经阴道宫腔镜输卵管妊娠手术治疗护理观察 【中图分类号】R473.71 【文献标识码】A 【文章编号】2095-1752 （2014） 16-0016-01 clinical observation and nursing of tubal pregnancy curing by operation of uteroscope per vagina PAN Xiao-ping, GUI Xiao-ling, CHEN Li-Ling （Department of Obstetrics and Gynecology, 184th Hospital of PLA, Yingtan Jiangxi 335000, China） [Abstract ] Objective To investigate the effect of tubal preg nancy curing by operation of uteroscope per vagina. Methods 68 patients of tubal pregnancy were divided into two groups, 36 patients of treat group and 32 patients of control group. Respectively, the treat group were treated by operation of uteroscope per vagina and the control group were treated by operation of celioscope. Then the two groups into comparis on. ResultsThere were sign ifica nt d iff ere nces in postoperative pain (0— I grade) ,anal exhaust time, postoperative morbidity and hospital costs between the groups (P<0.05) .However,no obvious differences in intraoperative blood loss,operative time and length of hospital stay were found between the two groups (P<0.05) ? Conclusion operation of uteroscope per vagina has a good effect in curi ng patients of tubal pre gnan cy. It is safe and fits the dema nd of min imal in vasive. 【Key words] per vagina; uteroscope; tubal pregnancy; operation; nursing observati on 异位妊娠是妇科常见病、多发病，近年来，异位妊娠的发病率明显升高⑴， 其中输卵管妊娠约占95%[2],治疗方法有手术、药物、期待等治疗。目前大多数 输卵管妊娠手术治疗采用开腹手术或腹腔镜手术。开腹手术有腹部疤痕、切口愈 合不良、肠粘连、盆腔粘连等并发症，随着微创理念的深入，腹腔镜技术也存在 一些不足，如气腹对心、肺功能的影响，使用电器引起的并发症等。而阴式手术 具有腹部无伤口、创伤小、恢复快、费用底等优点[3]。且不使用电器械，利于 卵巢功能的保护⑷。本文就我院开展的36例在经阴道宫腔镜手术治疗输卵管妊 娠的临床观察及护理体会报告如下。 1资料与方法 1.1-般资料 选取我院2013年1月至2013年6月输卵管妊娠患者68例，术前完善常规 检查：血、尿、彩超、心电图，后穹隆