腹腔镜与开腹手术治疗异位妊娠的临床疗效比较
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摘要
目的对腹腔镜与开腹手术治疗异位妊娠的临床疗效进行比较。方法方便选取该院2016年1月—2017年12月期间收治的102例异位妊娠患者作为研究对象,随机分为实验组(51例)和治疗组(51例)2个组别,分别给予腹腔镜手术治疗和常规开腹手术治疗,对患者的手术指标、预后状况及并发症发生率进行观察。结果两组患者的手术时间[(52.77±4.98)min、(53.48±5.67)min]差异无统计学意义(t=0.62, P>0.05);治疗组的出血量[(54.75±7.28)mL]、首次肛门排气时[(16.72±4.21)h]和住院时间[(3.59±0.84)d]均明显低于实验组[(86.24±10.05)mL、(30.26±6.05)h、(8.71±1.46)d],实验组的并发症发生率(1.96%)亦明显低于对照组(15.69%),差异有统计学意义(t=14.62、10.39、6.31、χ~2=7.26,P<0.05)。结论腹腔镜手术用于异位妊娠的治疗,可降低患者的出血量,缩短首次肛门排气时间及住院时间,预防并发症的发生。
Objective To compare the clinical efficacy of laparoscopic and open surgery in the treatment of ectopic pregnancy. Methods 102 cases of ectopic pregnancy admitted to our hospital from January 2016 to December 2017 were convenient selected and randomly divided into experimental group(51 cases) and teeament group(51 cases). Mirror surgery and conventional laparotomy were performed to observe the surgical index, prognosis and complication rate. Results There was no significant difference in the operation time between the two groups [(52.77±4.98) min,(53.48±5.67) min](t=0.62, P>0.05); the amount of bleeding in the experimental group [(54.75±7.28)mL] The first anus venting [(16.72±4.21)h] and hospitalization time [(3.59±0.84)d] were significantly lower than the experimental group [(86.24±10.05)mL,(30.26±6.05) h,(8.71±1.46)d], the complication rate of the teeament group(1.96%) was also significantly lower than that of the control group(15.69%), and the difference was statistically significant(t=14.62, 10.39, 6.31, χ~2=7.26, P<0.05). Conclusion Laparoscopic surgery for the treatment of ectopic pregnancy can reduce the amount of bleeding, shorten the first anal exhaust time and hospital stay, and prevent complications.
Objective To compare the clinical efficacy of laparoscopic and open surgery in the treatment of ectopic pregnancy. Methods 102 cases of ectopic pregnancy admitted to our hospital from January 2016 to December 2017 were convenient selected and randomly divided into experimental group(51 cases) and teeament group(51 cases). Mirror surgery and conventional laparotomy were performed to observe the surgical index, prognosis and complication rate. Results There was no significant difference in the operation time between the two groups [(52.77±4.98) min,(53.48±5.67) min](t=0.62, P>0.05); the amount of bleeding in the experimental group [(54.75±7.28)mL] The first anus venting [(16.72±4.21)h] and hospitalization time [(3.59±0.84)d] were significantly lower than the experimental group [(86.24±10.05)mL,(30.26±6.05) h,(8.71±1.46)d], the complication rate of the teeament group(1.96%) was also significantly lower than that of the control group(15.69%), and the difference was statistically significant(t=14.62, 10.39, 6.31, χ~2=7.26, P<0.05). Conclusion Laparoscopic surgery for the treatment of ectopic pregnancy can reduce the amount of bleeding, shorten the first anal exhaust time and hospital stay, and prevent complications.
引文
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[2]周琴亚,凌静,吴群英,等.腹腔镜手术与药物非手术治疗早期异位妊娠的临床疗效及对再次妊娠的影响比较[J].临床合理用药杂志,2017,10(34):157-159.
[3]陶昌琼.腹腔镜与开腹手术治疗异位妊娠的临床疗效比较[J]浙江创伤外科,2017,22(4):751-752.
[4]谷保双.腹腔镜与开腹手术治疗异位妊娠的临床疗效对比[J]实用中西医结合临床,2017,17(8):107-108.
[5]揭艳频.腹腔镜与开腹手术治疗异位妊娠患者的效果及对术后生存质量的影响[J].中国当代医药,2017,24(20):94-96,99.
[6]郭淑蓉.腹腔镜手术与传统开腹手术治疗异位妊娠的临床效果比较[J].临床合理用药杂志,2017,10(9):143-144.
[7]朱容.开腹手术与腹腔镜手术治疗异位妊娠的疗效比较[J]中国社区医师,2017,33(3):70-72.
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[9]高瑞杰.腹腔镜手术与开腹手术治疗异位妊娠患者的临床疗效观察[J].社区医学杂志,2016,14(21):74-76.
[10]郑秀芹.开腹手术与腹腔镜手术治疗异位妊娠患者的临床疗效对比[J].临床合理用药杂志,2016,9(15):110-111.
[11]刘向红,王转利.腹腔镜手术与开腹手术治疗异位妊娠的临床疗效对比[J].临床合理用药杂志,2015,8(30):84-85.
[12]丁洪平.腹腔镜与开腹手术治疗异位妊娠临床疗效对比观察[J].临床合理用药杂志,2015,8(13):120-121.
[2]周琴亚,凌静,吴群英,等.腹腔镜手术与药物非手术治疗早期异位妊娠的临床疗效及对再次妊娠的影响比较[J].临床合理用药杂志,2017,10(34):157-159.
[3]陶昌琼.腹腔镜与开腹手术治疗异位妊娠的临床疗效比较[J]浙江创伤外科,2017,22(4):751-752.
[4]谷保双.腹腔镜与开腹手术治疗异位妊娠的临床疗效对比[J]实用中西医结合临床,2017,17(8):107-108.
[5]揭艳频.腹腔镜与开腹手术治疗异位妊娠患者的效果及对术后生存质量的影响[J].中国当代医药,2017,24(20):94-96,99.
[6]郭淑蓉.腹腔镜手术与传统开腹手术治疗异位妊娠的临床效果比较[J].临床合理用药杂志,2017,10(9):143-144.
[7]朱容.开腹手术与腹腔镜手术治疗异位妊娠的疗效比较[J]中国社区医师,2017,33(3):70-72.
[8]贾玲玲.腹腔镜与开腹手术治疗异位妊娠的临床疗效研究[J].当代医学,2017,23(1):20-21.
[9]高瑞杰.腹腔镜手术与开腹手术治疗异位妊娠患者的临床疗效观察[J].社区医学杂志,2016,14(21):74-76.
[10]郑秀芹.开腹手术与腹腔镜手术治疗异位妊娠患者的临床疗效对比[J].临床合理用药杂志,2016,9(15):110-111.
[11]刘向红,王转利.腹腔镜手术与开腹手术治疗异位妊娠的临床疗效对比[J].临床合理用药杂志,2015,8(30):84-85.
[12]丁洪平.腹腔镜与开腹手术治疗异位妊娠临床疗效对比观察[J].临床合理用药杂志,2015,8(13):120-121.