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目的探讨腹腔镜手术治疗输卵管妊娠的临床疗效及对术后妊娠的影响。方法选取2011年12月—2012年12月桑植县人民医院收治的输卵管妊娠患者106例,分为试验组和对照组,各53例。试验组患者予以腹腔镜手术治疗,对照组患者予以传统开腹手术治疗。观察两组患者手术时间、术中出血量、排气时间、住院时间及术后妊娠情况。结果试验组患者手术时间、排气时间及住院时间短于对照组,术中出血量少于对照组(P<0.05);试验组患者术后妊娠率为75.5%,高于对照组的47.2%(P<0.05)。结论腹腔镜手术治疗输卵管妊娠的临床疗效好,手术时间短、术中出血量少、术后恢复快,患者术后妊娠率较高,能满足有生育要求的患者。
Objective To investigate the clinical efficacy of laparoscopic surgery for tubal pregnancy and its effect on postoperative pregnancy. Methods A total of 106 tubal pregnancy patients admitted from December 2011 to December 2012 in Sangzhi People’s Hospital were divided into experimental group and control group, with 53 cases in each group. The patients in the experimental group were treated by laparoscopy and the patients in the control group were treated by traditional laparotomy. The operation time, intraoperative blood loss, exhaust time, hospital stay and postoperative pregnancy were observed. Results The operation time, exhaust time and hospitalization time of the experimental group were shorter than that of the control group, and the blood loss during the operation was less than that of the control group (P <0.05). The pregnancy rate of the experimental group was 75.5%, which was higher than that of the control group (47.2% (P <0.05). Conclusion Laparoscopic surgery for tubal pregnancy has good clinical curative effect, short operative time, less intraoperative blood loss and rapid postoperative recovery. The patients have higher postoperative pregnancy rate and can meet the requirement of fertility.