中西医结合治疗在异位妊娠腹腔镜围手术期的应用及效果

发布时间：2018-03-23 16:08

本文选题：妊娠　切入点：异位　出处：《广东医学》2007年07期

【摘要】：目的探讨异位妊娠腹腔镜保守性手术围手术期中西医结合治疗及纯西医治疗的近远期疗效。方法回顾性分析行腹腔镜保守性手术治疗的308例异位妊娠患者,其中中西医结合治疗组200例,纯西医治疗组108例,比较两组手术时间、术中出血量、术后肛门排气时间、住院总费用、住院时间、术后血HCG下降的幅度、术后持续性异位妊娠发生率、月经恢复时间、术后再孕及再次异位妊娠等。结果两组手术时间、术中出血量、住院总费用、术后月经恢复时间、术后再孕及再次异位妊娠差异无显著性(P0.05),而两组术后肛门排气时间、住院天数、术后HCG下降幅度、术后持续性异位妊娠发生率等比较差异有显著性(P0.05)。结论异位妊娠腹腔镜保守性手术围手术期中西医结合治疗,能够提高术后胃肠功能恢复,促进术后HCG下降,降低术后持续性异位妊娠的发生率。
[Abstract]:Objective to investigate the short-term and long-term effects of laparoscopic conservative surgery with traditional Chinese medicine and western medicine in the perioperative period of ectopic pregnancy. Methods 308 cases of ectopic pregnancy treated by laparoscopic conservative surgery were retrospectively analyzed. There were 200 cases in the treatment group of integrated traditional Chinese and western medicine and 108 cases in the pure western medicine group. The operation time, the amount of blood loss during the operation, the time of anal exhaust after operation, the total cost of hospitalization, the length of hospitalization, the extent of the decrease of blood HCG after operation were compared between the two groups. Results the operative time, intraoperative bleeding volume, total hospitalization cost, postoperative menstrual recovery time, postoperative menstrual recovery time, and re-ectopic pregnancy were observed in the two groups, including the incidence of persistent ectopic pregnancy, the time of menstrual recovery, the time of re-pregnancy and re-ectopic pregnancy. There was no significant difference in postoperative re-pregnancy and re-ectopic pregnancy between the two groups (P 0.05). However, the postoperative anal exhaust time, hospital stay and HCG decreased in the two groups. There was significant difference in the incidence of persistent ectopic pregnancy after operation (P0.050.Conclusion combined treatment of traditional Chinese and western medicine during laparoscopic conservative surgery can improve the recovery of gastrointestinal function and promote the decrease of HCG after operation. Reduce the incidence of persistent ectopic pregnancy after operation.
【作者单位】：广东省中医院妇科广东省中医院妇科
【分类号】：R713

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