王丽华

[摘要] 目的 观察腹腔镜手术治疗异位妊娠的效果，以便为其治疗异位妊娠提供依据。方法 选取2013年1月～2014年6月我院收治的60例异位妊娠者作为研究对象，按照随机数表法将其分为实验组与对照组，对照组采用常规开腹手术，实验组采用腹腔镜手术，对比两组的相关情况。 结果 实验组的手术时间、术中出血量、术后抗生素使用时间、胃肠功能恢复时间及住院时间明显少于对照组，差异有统计学意义（P<0.05）。实验组并发症发生率为3.33%，明显低于对照组的30.00%，差异有统计学意义（P<0.05）；而实验组1年内的复发率为6.67%，对照组为10.00%，差异无统计学意义（P>0.05）。 结论 腹腔镜手术治疗异位妊娠效果佳，手术时间短，可减少并发症的发生，利于患者的术后恢复。

[关键词] 腹腔镜；常规开腹手术；异位妊娠；胃肠功能；并发症

[中图分类号] R713 [文献标识码] B [文章编号] 1673-9701（2015）34-0052-03

Clinical analysis of 60 cases of ectopic pregnancy treated with laparoscopic operation

WANG Lihua

Department of Obstetrics and Gynecology， Pulandian Center Hospital in Liaoning Province， Pulandian 116200，China

[Abstract] Objective To observe the effect of laparoscopic surgery in the treatment of ectopic pregnancy， so as to provide the basis for the treatment of ectopic pregnancy. Methods The 60 cases of ectopic pregnancy patients as research subjects were selected from January 2013 to June 2014 in our hospital. According to the random number table method， the patients were randomly divided into experimental group and control group. The control group was treated with conventional open surgery， while the experimental group used laparoscopic surgery， and then compared these two groups. Results The operation time， the amount of bleeding， the time of antibiotics，the recovery of gastrointestinal function and hospitalization length of the experimental group were significantly less than those of the control group， the difference was statistically significant（P<0.05）. The incidence of adverse symptoms in the experimental group was 3.33%， which was significantly lower than 30.00% in the control group， the difference was statistically significant （P<0.05）； while the recurrence in the first year after operation of the experimental group was 6.67%， and the control group was 10.00%， the difference was not statistically significant（P>0.05）. Conclusion The laparoscopic operation for ectopic pregnancy is effective with short operation time， and it can also reduce the occurrence of adverse symptoms which is beneficial to the recovery of patients.

[Key words] Laparoscopy； Conventional open surgery； Ectopic pregnancy； Gastrointestinal function； Adverse symptoms

异位妊娠是指受精卵在孕妇的子宫体腔外或者子宫内非正常部位着床发育，是一种常见的、多发的妇产科疾病，发病率约1%[1-3]。异位妊娠病症进展快，若得不到及时诊治，可造成患者大出血，使血容量骤减而发生休克甚至死亡。以往大部分患者均采用常规开腹手术治疗，但手术切口大、创伤较重、术中术后出血较多，且术后不良反应较多。随着腹腔镜手术治疗异位妊娠技术水平的逐渐提高，腹腔镜手术较常规开腹手术具有诸多优势，已逐渐在异位妊娠治疗中得到应用。为了进一步探究腹腔镜手术治疗异位妊娠的综合效果，并与常规开腹手术作对比，以便证实腹腔镜手术治疗异位妊娠的优势。为此选取2013年1月～2014年6月我院收治的60例异位妊娠者作为研究对象，随机分为两组，分别给予腹腔镜手术与常规开腹手术治疗，对比分析两种手术方式的临床效果，现报道如下。……