腹腔镜治疗异位妊娠患者的临床效果

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Abstract Objective To analyze the clinical application effect of laparoscopic surgery for patients with ectopic pregnancy.MethodsThe clinical data of 70 cases of patients with ectopic pregnancy treated in our hospital from July 2014 to July 2015 were retrospectively analyzed.All patients were given the surgical treatment to terminate the pregnancy,of which 45 cases treated with laparoscopic surgery were selected as the study group and 25 cases treated with laparotomy were enrolled in the control group.The incision size,operative time,intraoperative blood loss,hospital stay,catheter retention time,the time of first getting out of bed and the postoperative complications were recorded between the two groups,and the operative effect was evaluated.After 2 years of follow-up,the pregnancy condition (intrauterine pregnancy,ectopic pregnancy)and fallopian tube recanalization rate were recorded in the two groups.Results①The two groups were successfully completed the operation and the success rate was 100%.The levels of incision size,operative time,intraoperative blood loss,hospital stay,catheter retention time,the first time to get out of bed and the postoperative complications in the study group were lower than those in the control group,the differences were statistically significant(P＜0.05).②Follow-up results showed that the intrauterine pregnancy rate in the study group was significantly higher than that in the control group while the ectopic pregnancy rate was significantly lower than that in the control group,the difference was statistically significant(P＜0.05).Conclusion Laparoscopic surgery is a minimally invasive surgery with small trauma and can reduce the interference to the physiological function.Little intraoperative blood loss,short postoperative hospital stay and few complications in patients can greatly improve the intrauterine pregnancy rate,therefore it is worthy of the promotion for patients with ectopic pregnancy but without laparoscopic surgery contraindications.

Key words： Ectopic pregnancy Laparoscopic surgery Clinical application effect

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	SHEN Jian-hua

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SHEN Jian-hua. Clinical effect of laparoscopic in the treatment of ectopic pregnancy[J]. 中国当代医药, 2018, 25(1): 107-109.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2018/V25/I1/107

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