邵慧梅



腹腔镜与开腹手术治疗宫外孕的效果对比分析

邵慧梅

【摘要】目的 对比分析腹腔镜与开腹手术对宫外孕的治疗效果。方法 研究时间2015年1～12月，对象取宫外孕患者62例，进行抽签分组。对照组行开腹手术，有31例；观察组行腹腔镜治疗，有31例。比较两组疗效。结果 观察组各项指标优于对照组，并发症少，差异有统计学意义（P＜0.05）。结论 腹腔镜治疗宫外孕效果佳。

【关键词】宫外孕；腹腔镜；开腹手术；治疗

Objective Effect of laparoscopic operation and laparotomy operation in treatment of ectopic pregnancy are to be comparatively studied. Methods Chose 62 patients with ectopic pregnancy who were treated in our hospital from January to December 2015 and separated them into two groups by drawing lottery. 31 patients in control group were given laparotomy operation，while another 31 patients in study group were given laparoscopic operation，and then evaluated and compared patients' treatment effect between two groups. Results Patients'every indicator in study group were much more favorable than that in control group and complication incidence was much lower in study group than that in control group，there was a differential between two groups and such a differential had statistic value（P＜ 0.05）. Conclusion Laparoscopic operation is quite effective in treatment of ectopic pregnancy.

【Key words】Ectopic pregnancy，Laparoscopic，Laparotomy，Treatment

宫外孕为常见的妇产科急腹症，类型包括腹腔妊娠、输卵管妊娠、宫颈妊娠、残角子宫妊娠及卵巢妊娠等，输卵管妊娠发生率最高，约占95%。此病发生与衣原体和支原体感染、人流、不洁性生活、盆腔炎症和上环等有关［1］。此文研究时间为2015年1 ～12月，对象取宫外孕62例，总结对比腹腔镜与开腹手术治疗疗效，汇报见下。

1　资料和方法

1.1一般资料

本文研究时间为2015年1～12月，对象取宫外孕62例，进行抽签分组。对照组行开腹手术，有31例，初产妇有11例，20例经产妇，停经时间在36～55 d，平均为（42.59±4.34）d，均龄（28.26±4.15）岁，最大年龄41岁，最小年龄21岁。观察组行腹腔镜治疗，有31例，初产妇有12例，19例经产妇，停经时间在36～54 d，平均为（42.33±4.21）d，均龄（28.12±4.28）岁，最大年龄40岁，最小年龄21岁。组间数据有均衡性，差异无统计学意义（P＞0.05）。

1.2方法

1.2.1对照组 对照组行开腹手术，于下腹部纵向作切口，长度5 cm，入腹探查。将积血吸出，患侧输卵管暴露，将妊娠部位切开，取出妊娠物，对出血点给予结扎止血，腹腔作冲洗处理，关腹。

1.2.2 观察组 观察组行腹腔镜治疗，麻醉采用全麻或腰硬联麻。选择STORZ腹腔镜，于脐轮下缘横向作切口，长度10 mm，构建气腹，将腹腔镜头置入，探查。……