摘要：目的：探讨腹腔镜手术与开腹手术在治疗宫外孕方面的临床应用研究。方法：将2018年10月—2020年03月在合肥市滨湖医院妇科治疗的86例宫外孕病人随机分为两组，对照组选取经过开腹手术治疗的病人，观察组选取经过腹腔镜手术治疗的患者病人，比较开腹手术组和腹腔镜手术组患者的手术时间、出血量、住院时间、术后肛门排气时间、术后腹痛消失时间、术后输卵管通畅情况。结果：手术时间、出血量、住院时间、术后肛门排气时间、术后腹痛消失时间、术后输卵管通畅情况，住院时间均明显少于对照组，差异有统计学意义（P<0.05）;观察组术后输卵管通畅较对照组明显改善，差异有统计学意义（P<0.05）。结论：腹腔镜手术治疗宫外孕效果比开腹手术治疗宫外孕效果更好，恢复较快，排气早，住院时间短，输卵管通畅率更高，因此，腹腔镜手术对于宫外孕的治疗具有积极的意义。

关键词：宫外孕;腹腔镜手术;开腹手术;临床效果评价

【中图分类号】R246.3 【文献标识码】A 【文章编号】1673-9026（2021）05-212-02

[Abstact]Objective：To investigate the clinical application of laparoscopy and laparotomy in the treatment of ectopic pregnancy.Methods：86 cases of ectopic pregnancy treated in the hospital of HeFei BinHu from October 2015 to March 2018 were randomly divided into two groups.The patients in the control group were selected by laparotomy，and the patients in the observation group were treated by laparoscopic surgery.The operative time，blood loss，hospital stay and postoperative exhaust time were compared between the open operation group and the laparoscopic operation group.Results：operation time，bleedingvolume，hospitalization time，postoperative exhaust time，postoperative pain disappearance time，postoperative blood HCG recovery time，hospitalization time were significantly less than those in the control group.The difference was statistically significant （P < 0.05），the recovery time of blood HCG in the observation group was significantly improved than that in the control group （P < 0.05）.Conclusion：the effect of laparoscopic surgery on ectopic pregnancy is better than that of open surgery on ectopic pregnancy.The postoperative recovery time is short，so laparoscopic surgery has positive significance for the treatment of ectopic pregnancy.

[keywords]ectopic pregnancy;laparoscopic surgery;open surgery;Clinical effect evaluation

宮外孕[1]是妇科比较危急的疾病之一，需要急诊手术治疗挽救生命[2]。宫外孕的病因有很多，如人工流产、盆腔炎症，辅助生殖技术、性行为过早过频[3]，都导致宫外孕的发生率逐年上升。宫外孕有多种类型，其中宫外孕破裂可导致腹腔内出血。甚至失血性休克，危及患者生命安全。本病患者多为年轻女性，均对保留生育要求意愿强烈，因此，如何选择对患者损伤小[4]，术后恢复快，手术效果好的方式，是临床研究需要攻克的难题。腹腔镜手术的应用，对术后恢复以及减少机体的损伤方面有着重要的意义。

1.资料与方法

1.1 临床资料 将2018年10月—2020年03月我院收治的86例宫外孕患者选入本次临床研究。按照简单随机抽样的方法均分为观察组和对照组，各43 例……