低气腹压腹腔镜治疗IVF-ET术后早孕合并宫外孕效果观察

发布时间：2019-08-17 19:12

【摘要】：目的观察低气腹压腹腔镜治疗体外受精—胚胎移植(IVF-ET)术后早孕合并宫外孕的效果。方法IVF-ET术后早孕合并宫外孕患者42例,按照患者意愿自主选择手术方式,其中选择低气腹压腹腔镜治疗22例(腹腔镜组)、开腹探查20例(开腹组),比较两组术中出血量、手术时间、抗生素使用时间、住院时间及术后肛门排气时间、疼痛评分、妊娠过程和结局。结果腹腔镜组术中出血量(22.1±6.6)m L、手术时间(29.3±9.2)min、抗生素使用时间(2.1±0.7)d、住院时间(4.1±0.9)d、术后肛门排气时间(18.4±6.7)h、术后疼痛评分(1.5±0.8)分,开腹组分别为(51.4±8.9)m L、(42.5±9.3)min、(3.2±0.6)d、(5.5±0.4)d、(42.6±8.9)h、(4.6±1.6)分,两组比较,P均0.05。腹腔镜组患者均足月分娩;新生儿1分钟Apgar评分7分1例,8~10分21例;平均出生体质量3 250 g;无一例新生儿畸形。开腹组患者中自然流产1例,其余19例足月分娩,孕周平均38周;新生儿1分钟Apgar评分8~10分19例;平均出生体质量3 200 g;无一例新生儿畸形。结论低气腹压腹腔镜治疗IVF-ET术后早孕合并宫外孕效果较好,且较开腹手术者术中出血量少,手术时间、抗生素使用时间、住院时间、术后肛门排气时间短,术后疼痛评分低。
[Abstract]:Objective to observe the effect of laparoscopy with low pneumoperitoneum in the treatment of early pregnancy complicated with ectopic pregnancy after in vitro fertilisation and embryo transfer (IVF-ET). Methods 42 patients with early pregnancy complicated with ectopic pregnancy after IVF-ET were selected according to their wishes. 22 patients were treated by laparoscopy with low pneumoperitoneum pressure (laparoscopy group) and 20 patients with laparotomy (laparotomy group). The amount of intraoperative bleeding, operation time, antibiotic use time, hospitalization time, postoperative anal exhaust time, pain score, pregnancy process and outcome were compared between the two groups. Results in the laparoscopic group, the intraoperative bleeding volume was (22.1 卤6.6) m L, the operation time was (29.3 卤9.2) min, the hospitalization time was (4.1 卤0.9) d, the postoperative anal exsufflation time was (18.4 卤6.7) h, and the postoperative pain score was (1.5 卤0.8) d. The postoperative pain score was (51.4 卤8.9) m L, (42.5 卤9.3) min, (3.2 卤0. 6) d in the laparotomy group. (5. 5 卤0. 4) d, (42. 6 卤8. 9) h, (4. 6 卤1. 6) points, P 0. 05. In the laparoscopy group, all the patients gave birth in full term, 1 case had 1 neonatal Apgar score at 1 minute, 21 cases had 8 鈮，

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