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目的探讨腹腔镜手术与开腹手术治疗异位妊娠的效果差异。方法 2009年6月～2O10年8月腹腔镜手术治疗异位妊娠42例作为腹腔镜组,按照1:1比例选择同期开腹手术治疗的42例异位妊娠作为开腹手术组,比较两组手术时间、出血量、术后止痛药应用、住院时间、术后肠功能的恢复时间的差异。结果两组均顺利完成手术,腹腔镜组无中转开腹病例。两组比较手术时间无显著性差异(P>0.05),与开腹手术组比较腹腔镜组术中出血少、术后镇痛少、住院时间短、肠功能的恢复快(P<0.05)。结论腹腔镜手术治疗异位妊娠具有创伤小、术后恢复快,住院天数少的优点,为治疗异位妊娠的重要选择,值得基层医院推广应用。
Objective To investigate the difference between laparoscopic surgery and laparotomy in the treatment of ectopic pregnancy. Methods From June 2009 to August 2010, 42 cases of ectopic pregnancy undergoing laparoscopic surgery were selected as laparoscopic group. 42 cases of ectopic pregnancy undergoing open surgery at the same period were selected as the laparotomy group according to the ratio of 1: 1. Operation time, amount of bleeding, application of analgesics after surgery, length of hospital stay, and postoperative recovery of intestinal function. Results The two groups were successfully completed surgery, laparoscopic group without laparotomy cases. There was no significant difference between the two groups in the operation time (P> 0.05). Compared with the laparotomy group, the laparoscopic group had less bleeding, less postoperative analgesia, shorter hospital stay and faster recovery of intestinal function (P <0.05). Conclusions Laparoscopic surgery for ectopic pregnancy has the advantages of less trauma, quick recovery and fewer days of hospitalization. It is an important choice for the treatment of ectopic pregnancy and should be popularized and applied in primary hospitals.