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目的对比分析腹腔镜手术与开腹手术治疗宫外孕的临床效果。方法 50例宫外孕患者,按照不同的治疗方法分为开腹组和腹腔镜组,各25例。开腹组行开腹手术,腹腔镜组行腹腔镜手术,观察两组患者术后恢复情况,对比两组患者的临床疗效。结果腹腔镜组手术时间为(42.7±12.3)min,少于开腹组的(73.8±13.2)min;腹腔镜组术中出血量为(25.2±10.3)ml,少于开腹组的(48.8±11.2)ml;腹腔镜组肛门排气时间为(11.5±6.2)h,少于开腹组的(33.3±10.9)h;腹腔镜组尿管留置时间为(8.3±1.1)h,少于开腹组的(16.2±3.9)h;腹腔镜组下床活动时间为(8.8±2.8)d,少于开腹组的(24.7±5.5)d;腹腔镜组住院时间为(3.4±1.6)d,少于开腹组的(6.8±2.5)d,差异均具有统计学意义(P<0.05)。结论采用腹腔镜治疗宫外孕对患者的治疗有显著的临床效果,其具有创伤小、出血量少等特点,患者术后预后情况良好,是临床上治疗宫外孕的有效首选方法。
Objective To compare the clinical effects of laparoscopic surgery and laparotomy in the treatment of ectopic pregnancy. Methods 50 cases of ectopic pregnancy patients, according to different treatment methods were divided into laparotomy group and open group, 25 cases in each. The laparotomy group underwent laparotomy and the laparoscopic group underwent laparoscopic surgery. The postoperative recovery of the two groups was observed, and the clinical efficacy was compared between the two groups. Results The operation time of laparoscopic group was (42.7 ± 12.3) min, less than that of laparotomy group (73.8 ± 13.2) min. The bleeding volume of laparoscopic group was (25.2 ± 10.3) ml less than that of laparoscopic group ± 11.2) ml in the laparoscopic group, and (11.5 ± 6.2) h in the laparoscopic group compared with 33.3 ± 10.9 h in the laparotomy group. The catheter laparoscopic catheterization time was 8.3 ± 1.1 h, less than (16.2 ± 3.9) h in laparotomy group, (8.8 ± 2.8) d in laparoscopic group and (24.7 ± 5.5) d in laparotomy group. The length of stay in laparoscopic group was (3.4 ± 1.6) d, less than the open group (6.8 ± 2.5) d, the differences were statistically significant (P <0.05). Conclusions Laparoscopic treatment of ectopic pregnancy has significant clinical effect on the treatment of patients with less trauma and less blood loss. The postoperative prognosis of patients is good, which is an effective and preferred method for clinical treatment of ectopic pregnancy.