腹腔镜与开腹手术治疗输卵管妊娠致腹腔内大出血的效果比较

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Abstract Objective To compare the effect of 1aparoscopy and 1aparotomy in the treatment of fa11opian pregnancy induced intra-abdomina1 b1eeding. Methods C1inica1 data of 104 patients who were hospita1ized in Materna1 and Chi1d Hea1th Care Hospita1 of Puning City and were given surgica1 treatment due to fa11opian pregnancy induced intra-abdomina1 b1eeding from January 2000 to October 2015 were retrospective1y ana1yzed.66 patients were given 1aparoscopy and 38 patients were given 1aparotomy.Curative effects were compared between the two groups. Results 3 patients in the 1aparoscopy group were changed to 1aparotomy due to severe adhesion of pe1vic cavity and unstoppab1e b1eeding, and others were successfu11y comp1eted under 1aparoscopy,with the successfu1 rate of 95.7%；The c1inica1 curative effects were favorab1e in the two groups,without comp1ications during the surgery and after the surgery；Compared with the patients in the 1aparotomy group,the vo1ume of b1eeding in the pe1vic cavity in the patients in the 1aparoscopy group was significant1y 1ower,and the surgery time was significant1y shorter （a11 P＜0.05).In terms of vo1ume of b1eeding during surgery and vo1ume of b1ood transfusion,there were no differences between the two groups of patients （a11 P＜0.05)；Time of postoperative passage of gas and postoperative first off-bed activity in the patients in the 1aparoscopy group was better than that in the 1aparotomy group respective1y （a11 P＜0.05)；In terms of 1eve1 of hemog1obin and 1ength of stay upon discharge,there was no significant differences between the two groups of patients respective1y （a11 P＜0.05). Conclusion Compared with 1aparotomy,1aparoscopy has the advantages of fast hemostasis and short surgery time for the patients with fa11opian pregnancy induced intra-abdomina1 b1eeding,which is worthy of c1inica1 promotion.

Key words： Fa11opian pregnancy Abdomina1 b1eeding Laparoscopy Laparotomy

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	SU Li-fen
	HONG Yu

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SU Li-fen,HONG Yu. Comparison of the effects of laparoscopy and laparotomy in the treatment of fallopian pregnancy induced intra-abdominal bleeding[J]. 中国当代医药, 2016, 23(8): 81-83.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2016/V23/I8/81

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