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目的探讨腹腔镜手术在异位妊娠中的诊断和治疗价值。方法选取128例异位妊娠患者作为研究对象,其中选定68例异位妊娠患者作为治疗组行腹腔镜手术,进行回顾性分析,并选取同期60例行开腹手术患者作为对照组进行比较。结果两组患者在异位妊娠类型、身高、体重、年龄等术前指标比较差异均无统计学意义(P>0.05)。但在手术时间、术中失血量、住院时间、术后排气时间、术后下床时间、术后输卵管复通率、1年内宫内妊娠率等方面比较差异均有统计学意义(P<0.05)。结论腹腔镜手术方法可以有效应用于临床治疗异位妊娠患者,且较开腹手术更适用于有生育要求患者。
Objective To investigate the value of laparoscopic surgery in the diagnosis and treatment of ectopic pregnancy. Methods A total of 128 patients with ectopic pregnancy were enrolled. Among them, 68 patients with ectopic pregnancy were selected as the treatment group for laparoscopic surgery. The data of 60 patients undergoing laparotomy during the same period were selected as the control group for comparison. Results There was no significant difference in the preoperative indexes between the two groups in ectopic pregnancy, such as height, weight and age (P> 0.05). However, there were significant differences in operation time, intraoperative blood loss, hospital stay, postoperative exhaust time, postoperative ambulation time, postoperative tubal recanalization rate, intrauterine pregnancy rate in one year and so on (P < 0.05). Conclusion Laparoscopic surgery can be effectively applied to clinical treatment of patients with ectopic pregnancy, and more suitable for patients with reproductive requirements than laparotomy.