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目的观察腹腔镜手术和开腹手术治疗输卵管妊娠的效果。方法选择96例术前诊断为异位妊娠,术后病理诊断均明确诊断的急腹症患者。将其随机分为腹腔镜组和开腹组,每组48例。比较手术时间、术中出血时间、平均住院时间。结果腹腔镜组比开腹组的手术时间、术中出血时间、平均住院时间均缩短,差异有统计学意义(P<0.05)。结论腹腔镜治疗有生育要求的妇科急腹症患者创伤小,安全有效,且能降低持续性异位妊娠的发生率,降低术后腹腔黏连发生率,提高术后妊娠率,值得临床推广应用。
Objective To observe the effect of laparoscopic surgery and laparotomy on tubal pregnancy. Methods Ninety-six patients with acute abdomen diagnosed as ectopic pregnancy and with pathological diagnosis were selected. They were randomly divided into laparoscopic group and laparotomy group, 48 cases in each group. Comparison of operation time, intraoperative bleeding time, the average length of stay. Results The operation time, intraoperative bleeding time and average length of hospital stay in laparoscopic group were shorter than those in open group (P <0.05). Conclusions Laparoscopic treatment of gynecologic acute abdomen with reproductive requirements patients with small trauma, safe and effective, and can reduce the incidence of persistent ectopic pregnancy, reduce the incidence of postoperative abdominal adhesions and improve postoperative pregnancy rate, worthy of clinical application .