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1、应用腹腔镜治疗异位妊娠的分析【摘要】 目的:评价腹腔镜技术在异位妊娠治疗中的应用价值。方法:将确诊为异位妊娠有手术指征、采用腹腔镜手术的患者150例为观察组,回顾性分析采用开腹手术的异位妊娠150例为对照组,比较两组的手术情况和术后情况。结果:观察组手术时间(52.21±10.34)分钟,对照组手术时间(51.73±11.07)min,P>0.05,无差异性。观察组术中出血量(20.09±5.21)ml,对照组术中出血量(58.41±4.63)ml,P<0.01,具有显著差异性。观察组术后离床时间为(1.28±0.40)d,对照组术后离床
2、时间为(2.92±0.54)d,P<0.01,具有显著差异性。观察组术后2d体温>38℃(占5.33%),对照组术后2d体温>38℃(占24.67%),P<0.01,具有显著差异性。观察组平均住院天数(3.28±1.84)d,对照组平均住院天数(5.72±1.69)d,P<0.01,具有显著差异性。结论:腹腔镜手术创伤小,恢复快,术中出血少,并发症少,治疗效果可靠及住院时间短等优点,值得有条件的医院推广应用,是治疗异位妊娠首选的手术方式。【关键词】腹腔镜 异位妊娠 开腹手术 AnalysisofEctopicPregna
3、ncyTreatmentwithLaparoscope10 Abstract:Objective:Toevaluatetheapplicationoflaparoscopictechniqueinectopicpregnancytreatment.Method:Checktheectopicpregnancyhastheoperationindication,andadopt150casesoflaparoscopicoperationsufferersastheobservationgroup;processtheretrospectiveanal
4、ysis,take150casesoftheectopicpregnancyasthecontrastgroup,andthencomparetheresultsbeforeandaftertheoperation.Result:Theoperationtimeoftheobservationgroupis(52.21±10.34)minutes,andtheoperationtimeofthecontrastgroupis(51.73±11.07)minutes,P>0.05,therearenomuchdifference.Thebleedi
5、ngamountoftheobservationgroupis(20.09±5.21)ml,andthebleedingamountofthecontrastgroupis(58.41±4.63)ml,(58.41±4.63)ml,therearesignificantdifference.Bedleavingtimeoftheobservationgroupare(1.28±0.40)days,andthebedleavingtimeofthecontrastgroupare(2.92±0.54)days,P<0.01,therearesign
6、ificantdifference.Theaveragedaysinhospitaloftheobservationgroupare(3.28±1.84)days,andtheaveragedaysinhospitalofthecontrastgroupare(5.72±1.69)days,P<0.01,therearesignificantdifference.Conclusions:Thelaparoscopicoperationhaslittlewound,andisfastinrecovering,withlittlebleedingam
7、ountandsymptoms,itisreliableintherapy10effectwithshorthospitalizationtime,whichisworthytobepromotedinthehospitalswithgoodconditions,andit'sthefirstchoiceoperationmodeincuringtheectopicpregnancy. Keywords:Laparoscope;Ectopicpregnancy;Laparotomyoperation 异位妊娠是妇科常见的急腹症,占妇科急诊手术的70
8、%以上[1]。近年来国内外报告异位妊娠发生率呈上升趋势[2],在对异位妊娠的治疗中腹腔镜技术因