腹腔镜手术治疗宫外孕的效果观察

发布时间：2019-05-18 07:26

【摘要】：目的观察腹腔镜手术治疗宫外孕的临床效果。方法按照随机抽取的方式将宫外孕患者125例分为研究组63例与对照组62例。分别采用腹腔镜手术、传统开腹手术治疗研究组、对照组患者。比较两组术中出血量、手术时间、住院时间、留置导管时间、肛门排气时间、术后发热及疼痛例数、绒毛膜促性腺激素(HCG)恢复正常时间。结果研究组与对照组的术中出血量分别为(46.24±3.23)ml、(86.74±4.52)ml,手术时间分别为(42.53±3.61)min、(67.81±7.34)min,住院时间分别为(3.1±0.7)d、(6.2±0.9)d,差异均有统计学意义(P0.05);术后研究组留置导管时间、肛门排气时间均短于对照组,研究组术后发热、疼痛例数少于对照组,差异均有统计学意义(P0.05);研究组与对照组血HCG恢复正常时间分别为(6.8±1.2)d、(9.6±1.5)d,差异有统计学意义(P0.05)。结论与传统开腹手术相比,腹腔镜手术治疗宫外孕,具有操作简便,高微创性,术后恢复快等优势,更符合现代临床追求人性化、美观的要求,认可度高,值得临床推广。
[Abstract]:Objective to observe the clinical effect of laparoscopic surgery in the treatment of ectopic pregnancy. Methods 125 patients with ectopic pregnancy were randomly divided into study group (63 cases) and control group (62 cases). Laparoscopic surgery, traditional laparotomy were used to treat the patients in the study group and the control group. The amount of intraoperative bleeding, operation time, hospitalization time, indwelling catheter time, anal exhaust time, postoperative fever and pain, and chorionic gonadotropin (HCG) recovery time were compared between the two groups. Results the intraoperative bleeding volume of the study group and the control group were (46.24 卤3.23) ml, (86.74 卤4.52) ml, and (42.53 卤3.61) min, (67.81 卤7.34) min, respectively. (6.2 卤0.9) days, the difference was statistically significant (P 0.05). The indwelling catheter time and anal exhaust time in the study group were shorter than those in the control group, and the number of postoperative fever and pain in the study group were less than those in the control group, the difference was statistically significant (P 0.05). The recovery time of blood HCG in the study group and the control group was (6.8 卤1.2) d, (9.6 卤1.5) days, the difference was statistically significant (P 0.05). Conclusion compared with traditional laparotomy, laparoscopic surgery for ectopic pregnancy has the advantages of simple operation, high minimally invasive operation and rapid postoperative recovery, which is more in line with the requirements of humanization and beauty in modern clinical practice, and is worthy of clinical promotion.
【作者单位】：安平市中医医院;
【分类号】：R713.8

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