腹腔镜手术治疗异位妊娠的临床效果及安全性

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Abstract Objective To investigate the clinical effect and safety of laparoscopic surgery in the treatment of ectopic pregnancy.Methods A total of 60 patients with ectopic pregnancy treated in our hospital from February 2012 to February 2018 were selected as research objects.They were divided into the treatment group 1 (30 cases)and the treatment group 2(30 cases)according to the random number table method.Patients in the treatment group 1 underwent laparoscopic surgery,and patients in the treatment group 2 underwent conventional laparotomy.The recovery conditions(hospitalization time,recovery time of blood human chorionic gonadotropin[β-HCG],recovery time of menstruation),tubal patency rate,cure rate,complication rate and perioperative efficacy(operative time,intraoperative blood loss,postoperative anal exhaust time)were compared between the two groups.Results The hospitalization time,recovery time of blood β-HCG and recovery time of menstruation in the treatment group 1 were significantly shorter than those in the treatment group 2,and the differences were statistically significant(P＜0.05).The tubal patency rate and cure rate of the patients in the treatment group 1 were higher than those in the treatment group 2,the complication rate was lower than that in the treatment group 2,and the differences were statistically significant(P＜0.05).The operation time and postoperative anal exhaust time in the treatment group 1 were shorter than those in the treatment group 2,the intraoperative blood loss was less than that in the treatment group 2,and the differences were statistically significant(P＜0.05).Conclusion Laparoscopic surgery applied to ectopic pregnancy can improve the patients′tubal patency rate,cure rate,shorten hospitalization time,blood β-HCG recovery time and menstrual recovery time,safe and reliable,with fewer complications,which is worthy of application and promotion.

Key words： Ectopic pregnancy Laparotomy Laparoscopic surgery Effect

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ZHANG Xiao-xiang. Clinical effect and safety of the laparoscopic surgery in the treatment of ectopic pregnancy[J]. 中国当代医药, 2019, 26(5): 111-113.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2019/V26/I5/111

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