论文部分内容阅读
目的:探讨腹腔镜手术治疗输卵管妊娠合并失血性休克的临床疗效。方法:我院2003年1月至2006年12月间共收治输卵管妊娠合并失血性休克(出血量>1000mL)227例,其中以腹腔镜手术治疗的27例为研究组,另200例开腹手术为对照组,分析比较两组围手术期情况。结果:研究组与对照组的一般情况及输卵管妊娠结局无明显差异(P>0.05);两组患者腹腔内出血量及输卵管切除例数差异无显著性(P>0.05),术中出血量、手术时间及住院天数均为研究组显著低于对照组(P<0.01),术后研究组肛门排气时间显著早于对照组(P<0.05)。结论:腹腔镜手术治疗休克型输卵管妊娠优于开腹手术;熟练的腹腔镜操作技术对输卵管妊娠合并失血性休克的治疗是安全的。
Objective: To investigate the clinical efficacy of laparoscopic surgery for tubal pregnancy with hemorrhagic shock. Methods: A total of 227 cases of tubal pregnancy with hemorrhagic shock (bleeding> 1000mL) were treated in our hospital from January 2003 to December 2006. Among them, 27 cases were treated by laparoscopic surgery and the other 200 cases were laparotomy For the control group, analysis and comparison of perioperative conditions in both groups. Results: There was no significant difference between the study group and the control group and the outcome of tubal pregnancy (P> 0.05). There was no significant difference between the two groups in the number of intra-abdominal hemorrhage and the number of tubal resection (P> 0.05) Time and hospital stay were significantly lower in the study group than in the control group (P <0.01). The anal exhaust time in the study group was significantly earlier than that in the control group (P <0.05). Conclusions: Laparoscopic surgery is superior to laparotomy for shock tubal pregnancy. Skilled laparoscopic technique is safe for treatment of tubal pregnancy complicated with hemorrhagic shock.