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目的:探讨腹腔镜与开腹手术治疗宫外孕的临床疗效,并总结治疗体会。方法:选取2011年1月~2013年5月期间来我院诊治的128例宫外孕患者作为研究对象,其中采用腹腔镜手术治疗的64例患者为治疗组,采用开腹手术治疗的64例患者为对照组,比较2组患者在采用2种术式后,在手术时间、术中出血量、术后住院时间等方面的差异。结果:调查显示,治疗组患者采用腹腔镜手术治疗后,手术时间29±14分钟,较对照组48±25分钟明显缩短;治疗组患者术中出血量35±11ml,较对照组72±13ml也明显减少。此外,治疗组患者的住院时间也明显短于对照组,2组差异具有统计学意义(p<0.05)。结论:腹腔镜手术可以有效缩短宫外孕患者的手术时间,减少患者的术中出血量,对于患者的术后康复具有重要作用,显示出良好的临床疗效。
Objective: To investigate the clinical efficacy of laparoscopy and laparotomy for ectopic pregnancy and to summarize the experience of treatment. Methods: A total of 128 patients with ectopic pregnancy diagnosed and treated in our hospital from January 2011 to May 2013 were selected as the study subjects. Among them, 64 patients treated by laparoscopic surgery were treated group, and 64 patients treated by laparotomy were Control group, the two groups were compared in the use of two kinds of surgery, the operation time, blood loss, postoperative hospital stay and other differences. Results: The survey showed that the operation time of the treatment group was 29 ± 14 minutes after the laparoscopic surgery, which was significantly shorter than that of the control group (48 ± 25 minutes). The bleeding volume of the treatment group was 35 ± 11ml, 72 ± 13ml more than that of the control group obviously decrease. In addition, the hospitalization time was significantly shorter in the treatment group than in the control group, with significant differences between the two groups (p <0.05). Conclusion: Laparoscopic surgery can effectively shorten the operation time of patients with ectopic pregnancy and reduce the amount of intraoperative blood loss, which plays an important role in postoperative rehabilitation of patients and shows good clinical efficacy.