摘要
目的:探究比较在异位妊娠治疗中分别应用腹腔镜手术方法与传统开腹手术方法的效果差异.方法:选择2021年1月-2023年1月我院收治异位妊娠产妇200例,按照随机数字表方式分为对照组(传统开腹手术治疗,n=100例)和研究组(腹腔镜手术治疗,n=100例),记录观察两组患者围手术期各项治疗指标、术后并发症现象以及受孕情况.结果:研究组患者手术时间、术后导尿管留置时间、术后肛门排气时间、首次下床活动时间与住院时间各为(45.52±4.61)min、(12.53±1.27)h、(17.53±1.87)h、(11
Abstract
Objective To explore and compare the effect differences between laparoscopic operation and traditional laparotomy in the treatment of ectopic pregnancy. Methods: A total of 200 cases of pregnant women with ectopic pregnancy admitted to our hospital from January 2021 to January 2023 were divided into the control group (traditional laparotomy, n=100 cases) and the research group (laparoscopic surgery, n=100 cases) according to the random number table. The perioperative treatment indicators, postoperative complications and pregnancy status of patients in the two groups were recorded and observed. Results The operation time, postoperative indwelling catheter time, postoperative anal exhaust time, first ambulation time and hospitalization time of patients in the study group were (45.52±4.61)min, (12.53±1.27) h, (17.53±1.87) h, (11.12±1.07) h and (4.04±1.04) d, respectively, which were shorter than those in the control group. Besides, the intraoperative bleeding volume in the study group was (65.49±6.18)ml, which was less than that in the control group (P＜0.05). Moreover, the postoperative complication rate in the research group was 6.00％, which was lower than that in the control group (P＜0.05). The intrauterine acceptance rate of the research group was 84.00％, which was higher than that of the control group. The rates of re-ectopic pregnancy and infertility were 5.00％ and 8.00％, respectively, which were lower than those of the control group (P＜0.05). Conclusion: Compared with the traditional laparotomy, the laparoscopic operation in the treatment of ectopic pregnancy requires shorter operation time, less intraoperative bleeding, has lower postoperative complications, and achieves faster recovery. At the same time, the intrauterine pregnancy rate of the patient is higher, which is worthy of promotion.
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