腹腔镜手术治疗妇科急腹症的临床疗效观察  

Clinical effect observation of laparoscopic surgery for gynecologic acute abdomen

作　　者：范凌霞[1] 

机构地区：[1]焦作煤业(集团)有限责任公司中央医院妇产科,河南焦作454000

出　　处：《临床医学》2015年第1期26-27,共2页Clinical Medicine

摘　　要：目的观察腹腔镜手术和开腹手术治疗输卵管妊娠的效果。方法选择96例术前诊断为异位妊娠,术后病理诊断均明确诊断的急腹症患者。将其随机分为腹腔镜组和开腹组,每组48例。比较手术时间、术中出血时间、平均住院时间。结果腹腔镜组比开腹组的手术时间、术中出血时间、平均住院时间均缩短,差异有统计学意义(P<0.05)。结论腹腔镜治疗有生育要求的妇科急腹症患者创伤小,安全有效,且能降低持续性异位妊娠的发生率,降低术后腹腔黏连发生率,提高术后妊娠率,值得临床推广应用。Objective To observe and compare the effects of laparoscopic surgery and open surgery on tubal pregnancy.Methods Ninety-six cases of acute abdomen with postoperative pathological diagnosis of ectopic pregnancy were chosen and randomly divided into laparoscopy group and laparotomy group,with 48 cases in each group.The operation time,intraoperative bleeding time,average hospital stay was compared.Results Laparoscopy group had shorter operation time,shorter intraoperative bleeding time,shorter average hospitalization time.The differences between the two groups were statistically significant.Conclusion Laparoscopy in the treatment of ectopic pregnancy patients is safe and effective with small trauma,and can also reduce the incidence of persistent ectopic pregnancy and the incidence of postoperative abdominal adhesion,improving the postoperative pregnancy rate.It is worthy of clinical popularization and application.

关 键 词：妊娠 输卵管 腹腔镜手术 

分 类 号：R711[医药卫生—妇产科学]