电视腹腔镜手术与剖腹手术治疗输卵管妊娠的随机对照研究  

The Value of Operative Laparoscopy and Laparotomy in Curing Tubal Pregnancy—A Randomization Clinical Trial

作　　者：谭世桥[1] 杨延林[1] 唐晓红[2] 

机构地区：[1]华西医科大学附属第二医院,四川成都610041 [2]华西医科大学附属第一医院,四川成都610041

出　　处：《实用妇产科杂志》2001年第2期98-99,共2页Journal of Practical Obstetrics and Gynecology

摘　　要：目的 :比较电视腹腔镜手术与剖腹手术在国内治疗输卵管妊娠的效果、住院时间及住院费用。方法 :经临床或诊断性腹腔镜确诊的输卵管妊娠住院病例 114例 ,随机分配入电视腹腔镜手术组 5 7例及剖腹手术组 5 7例 ,记录术前病史、阳性体征、术中发现、住院时间及费用 ,观察术后恢复情况 ,术后 1月门诊复查。结果 :盆腔粘连发生率为 5 0 % ,腹腔镜手术组手术时间及术中出血明显少于剖腹手术组 (分别为 49± 19m in比 6 9± 2 8min,2 1± 12 ml比 73± 37m l,P<0 .0 1) ,静脉用抗生素时间、肛门排气时间及住院时间明显短于剖腹手术组 (分别为 2 .5 6± 2 .0 9天比 4.11± 0 .96天 ,1.11± 0 .36天比 2 .0 6± 0 .5 3天 ,4.72± 3.13天比 6 .2 3± 2 .2 1天 ,P<0 .0 1) ,住院费用明显多于剖腹手术组 (44 90± 972元比 35 85± 73元 ,P<0 .0 1)。结论 :电视腹腔镜手术治疗输卵管妊娠具有手术时间短、术中出血少、术后肠功能恢复迅速、住院时间短等优点 ,在我国仅手术费用相对较高 ,值得推广应用。Objectives:To compare curing effect,length of stay and cost of hospitalization of tubal pregnancy between operative laparoscopy and laparotomy.Methods:114 cases of tubal pregnancy that had been diagnosed by clinical or laparoscopy were randomly distributed to operative laparoscopy group(57 cases)and laparotomy group(57 cases).Their preoperative history,positive physical sign,detection in operation,length of stay and cost of hospitalization were recorded.The postoperative recovery was observed.Re examination was done in postoperation. Results:The incidence of pelvic adhesion in tubal pregnancy was 50%.Operative time and bleeding in opration in operative laparoscopy group were fewer than in laparotomy group(49±19 min vs 69±28 min,21±12 ml vs 73±37 ml, P <0.01).The antibiotic time,functional recover time of bowel and length of stay in operative laparoscopy group were shorter than in laparotomy group(2.56±2.09 day vs 4.11±0.96 day,1.11±0.36 day vs 2.06±0.53 day,4.72±3.13 day vs 6.23±2.21 day, P <0.01).The cost of hospitalization in operative laparoscopy group was more than in lapparotomy group($4490±972 vs 3585±73, P <0.01).Conclutions:Oprative laparoscopy in curing tubal pregnancy is better than laparotomy in operative time,bleeding in operation,functional recover of bowel and length of stay,but cost of hospitalization is more than laparotomy.

关 键 词：电视腹腔镜手术 剖腹手术 输卵管妊娠 

分 类 号：R714.220.5[医药卫生—妇产科学]