腹腔镜下输卵管妊娠手术不使用抗菌药物70例临床分析  

Clinical analysis of 70 cases of laparoscopic tubal pregnancy surgery without antibiotics

作　　者：孙秀兰 李进喜 SUN Xiu-lan;LI Jin-xi(Dezhou Decheng District Maternal and Child Health Family Planning Service Center,Dezhou 253017,China)

机构地区：[1]德州市德城区妇幼保健计划生育服务中心

出　　处：《中国实用医药》2019年第35期172-174,共3页China Practical Medicine

摘　　要：目的探讨腹腔镜下输卵管妊娠手术不使用抗菌药物的安全性、可行性。方法 140例行腹腔镜下输卵管妊娠手术孕妇,随机分为观察组和对照组,各70例。两组孕妇均行腹腔镜下输卵管妊娠手术,观察组孕妇不予使用抗菌药物,对照组孕妇给予使用抗菌药物。比较两组孕妇手术时间、术中出血量、术后胃肠功能恢复时间、术后住院时间及术后白细胞计数。并于孕妇术后1周门诊复诊时,统计比较两组孕妇术后发热情况。结果两组孕妇术中出血量比较,差异无统计学意义(P>0.05)。观察组孕妇手术时间为(29.52±13.62)min,短于对照组的(35.34±15.13)min,差异有统计学意义(P<0.05)。两组孕妇术后胃肠功能恢复时间比较,差异无统计学意义(P>0.05)。两组孕妇住院时间比较,差异无统计学意义(P>0.05)。观察组孕妇术后白细胞计数为(6.36±1.83)×109/L,多于对照组的(5.52±1.69)×109/L,差异有统计学意义(P<0.05)。两组孕妇发热所占比例及最高体温比较,差异无统计学意义(P>0.05)。结论腹腔镜下输卵管妊娠手术不使用抗菌药物,并不会增加术后感染的风险,安全可行,为减少及合理使用抗菌药物提供了参考。这一治疗方案值得临床推广。Objective To discuss the safety and feasibility of laparoscopic tubal pregnancy surgery without antibiotics. Methods A total of 140 cases laparoscopic tubal pregnancy were randomly divided into observation group and control group, with 70 cases in each group. Both groups received laparoscopic tubal pregnancy surgery, and the observation group received no antibiotics. The control group received antibiotics. Comparison was made on operation time, amount of intraoperative hemorrhage, recovery time of postoperative gastrointestinal function, hospitalization time, leukocyte count and postoperative fever status between the two groups. Results There was no statistically significant difference in amount of intraoperative hemorrhage between the two groups(P>0.05). The operation time was(29.52±13.62) min in the observation group, which was shorter than(35.34±15.13) min in the control group, and the difference was statistically significant(P<0.05). There was no statistically significant difference in recovery time of postoperative gastrointestinal function between the two groups(P>0.05). There was no statistically significant difference in hospitalization time between the two groups(P>0.05). The leukocyte count was(6.36±1.83)×109/L in the observation group, which was more than(5.52±1.69)×109/L in the control group, and the difference was statistically significant(P<0.05). There was no statistically significant difference in proportion of pregnant women with fever and maximum body temperature between the two groups(P>0.05). Conclusion Laparoscopic tubal pregnancy surgery without antibiotics is safe and feasible, and does not increase the risk of postoperative infection. It provides a reference for the reduction and rational use of antibiotics. This regimen is worthy of clinical promotion.

关 键 词：腹腔镜下输卵管妊娠手术 抗菌药物 合理使用 

分 类 号：R71[医药卫生—妇产科学]