宁伟

[摘要] 目的 研究腹腔镜手术对宫外孕患者的临床治疗效果及安全性情况。方法 方便选取2016年9月—2017年9月期间该院收治的84例宫外孕患者作为研究对象，按随机数字表法分为两组各42例。其中42例患者采用开腹手术治疗作为开腹组;另42例患者采用腹腔镜手术治疗作为腹腔镜组。观察两组患者治疗效果、手术情况以及并发症情况。结果 腹腔镜组患者治疗总有效率高达95.24%，明显高于开腹组的83.33%，差异有统计学意义（χ2=7.413，P<0.05）。腹腔镜组患者手术时间、肛门排气时间、下床活动时间以及住院时间分别为（59.65±5.12）min、（11.94±2.89）h、（5.16±1.23）d以及（5.43±1.38）d，均短于开腹组，出血量（15.29±3.34）mL，少于开腹组，两组对比差异有统计学意义（t=11.178、15.707、3.362、5.845、22.408，P<0.05）。两组患者并发症包括发热、切口疼痛以及感染。腹腔镜组发生率仅为4.76%，明显低于开腹组的14.29%，两组对比差异有统计学意义（χ2=5.269，P<0.05）。结论 腹腔镜手术治疗宫外孕具有较好效果，安全性高，明显缩短患者的住院时间，促进患者预后，值得临床应用及推广。

[關键词] 腹腔镜;宫外孕;开腹手术;妇产科;并发症

[中图分类号] R713          [文献标识码] A          [文章编号] 1674-0742（2019）11（a）-0032-03

Safety and Clinical Efficacy of Laparoscopic Surgery for Ectopic Pregnancy

NING Wei

Department of Obstetrics and Gynecology， Changxing Second Hospital， Huzhou， Zhejiang Province， 313113 China

[Abstract] Objective To study the clinical effect and safety of laparoscopic surgery on patients with ectopic pregnancy. Methods Eighty-four patients with ectopic pregnancy admitted to our hospital from September 2016 to September 2017 were convenient enrolled in the study. They were divided into two groups according to the random number table method. Of these， 42 patients underwent open surgery as an open group; another 42 patients underwent laparoscopic surgery as a laparoscopic group. The treatment effect， operation and complications of the two groups were observed. Results The total effective rate of the patients in the laparoscopic group was as high as 95.24%， which was significantly higher than that in the open group （83.33%）. The difference was statistically significant （χ2=7.413， P<0.05）. In the laparoscopic group， the operation time， anal exhaust time， time to get out of bed， and hospital stay were （59.65±5.12） min，（11.94±2.89）h， （5.16±1.23）d， and （5.43±1.38）d， respectively， shorter than the open group， the amount of bleeding （15.29 ± 3.34）mL， less than the open group， the difference between the two groups was statistically significant（t=11.78， 15.707， 3.362， 5.845， 22.408， P<0.05）. Complications in both groups included fever， incisional pain， and infection. The incidence of laparoscopic group was only 4.76%， which was significantly lower than 14.29% of the open group. The difference between the two groups was statistically significant （χ2=5.269， P<0.05）. Conclusion Laparoscopic surgery has a good effect on ectopic pregnancy， and it has high safety. It can significantly shorten the hospitalization time of patients and promote the prognosis of patients. It is worthy of clinical application and promotion.

[Key words] Laparoscopy; Ectopic pregnancy; Open surgery; Obstetrics and gynecology; Complications

宫外孕是临床较为常见的疾病之一，主要是由于受精卵在子宫以外部位着床发育，是引起孕妇死亡的主要原因之一。近年来随着宫外孕发生率的不断升高，给妊娠女性带来的危害明显增大，引起专家学者的关注和重视。输卵管妊娠是宫外孕的最常见类型，占宫外孕孕妇的90%以上，在早期诊断后可给予药物治疗，但药物治疗效果并不理想，当药物治疗失败后，则需要进行手术治疗[1]。传统开腹手术治疗创伤较大，出血较多，不利于患者术后恢复。而腹腔镜技术的出现则很好的解决了这一问题，其凭借创伤小、出血少等微创优势在临床上广泛应用，受到医师患者的青睐[2]。该文为进一步探究腹腔镜手术对宫外孕患者的治疗效果，方便选取2016年9月—2017年9月期间该院收治的84例宫外孕患者进行研究，对比开腹手术治疗，观察腹腔镜手术对患者的疗效及安全性，现报道如下。……