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目的:评价妊娠期腹腔镜手术的可行性和安全性。方法:将2001年3月至2006年9月南方医院妇科妊娠期腹腔镜手术11例作为研究组,同期开腹手术12例作为对照组,比较分析两组围手术期情况及其临床结局。结果:两组在肠功能恢复时间、出血量和术后住院时间方面差异有显著性(均P<0.05),手术时间方面差异无显著性(P>0.05)。两组无一例发生术后流产。结论:在正确掌握妊娠期手术指征的前提下,妊娠期腹腔镜手术与开腹手术相比,具有创伤小、出血少、恢复快、术后并发症少等优点,值得临床推广和应用。
Objective: To evaluate the feasibility and safety of laparoscopic surgery in pregnancy. Methods: From March 2001 to September 2006, 11 cases of gynecological pregnancy laparoscopic surgery in Southern Hospital were selected as the study group, and 12 cases of open surgery in the same period were taken as the control group. The perioperative and clinical outcomes were compared between the two groups. Results: There was significant difference between the two groups in the recovery time of intestinal function, the amount of bleeding and the length of postoperative hospital stay (both P <0.05). There was no significant difference in operative time (P> 0.05). No case of postoperative abortion occurred in both groups. Conclusions: Under the premise of correctly grasping indications for gestational pregnancy, laparoscopic gestation has the advantages of less trauma, less bleeding, faster recovery and less postoperative complications compared with laparotomy, which is worthy of clinical promotion and application.