腹腔镜手术在异位妊娠患者中的应用效果及对再次异位妊娠率的影响

Effect of laparoscopic surgery in patients with ectopic pregnancy and its impact on re-ectopic pregnancy rate

  • 摘要: 目的 探讨腹腔镜手术在异位妊娠患者中的应用效果及对手术指标与再次异位妊娠率的影响。 方法 回顾性分析100例异位妊娠患者的临床资料,按手术治疗方法的不同分为2组,各50例。将采取传统开腹手术治疗者设为对照组,将采取腹腔镜手术治疗者设为研究组,对2组患者手术指标、术后再次异位妊娠率、术后康复时间以及住院费用进行统计学分析。 结果 研究组平均手术时间显著短于对照组,术中出血量显著少于对照组(P<0.05); 研究组术后再次异位妊娠率显著低于对照组(P<0.05); 研究组术后住院时间、腹痛以及发热持续时间、输液时间、下床活动时间均显著短于对照组,住院费用显著少于对照组(P<0.05)。 结论 腹腔镜手术应用于异位妊娠患者效果良好,有手术操作时间短、出血量少、康复快、术后疼痛轻等优势,并能降低再次异位妊娠率,减轻患者经济负担。

     

    Abstract: Objective To investigate the effect of laparoscopic surgery in ectopic pregnancy patients and its impact on surgical parameters and re-ectopic pregnancy rate. Methods Clinical data of 100 ectopic pregnancy patients was retrospectively analyzed, and they were divided into two groups according to different surgical treatment method. Patients treated with traditional open surgery were included in control group and those treated with laparoscopic surgery were included in study group. Operation indicators, postoperative re-ectopic pregnancy rate, postoperative recovery time and hospitalization costs of two groups were compared. Results The average operation time of the study group was shorter, and the intraoperative blood loss was significantly less than that of the control group(P<0.05). The rate of re-ectopic pregnancy in the study group was lower than that in the control group(P<0.05). The postoperative hospital stay, duration of abdominal pain and fever, infusion time and out-of-bed activity time of the study group were shorter than that of the control group, and the hospitalization cost was less than that of the control group(P<0.05). Conclusion Laparoscopic operation with the advantages of short operation time, less bleeding as well postoperative pain, and quick recovery in ectopic pregnancy has better efficacy, which can reduce re-ectopic pregnancy rate, and alleviate economic burden.

     

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