经阴道超声引导和腹腔镜下手术治疗异位妊娠临床效果对比

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1、经阴道超声引导和腹腔镜下手术治疗异位妊娠临床效果对比［摘要］目的对比分析经阴道超声引导与腹腔镜下手术治疗异位妊娠的临床效果。方法选择2011年1月〜2013年1月浙江省东阳令第二人民医院妇产科异位妊娠患者120例为研究对象，按照手术治疗方式分为超声引导组和腹腔镜组，每组各60例。对比分析两组患者治疗效果、术中与围术期及术后情况。结果超声引导组和腹腔镜组治疗总有效率分别为96.67%、93.33%，两组比较，差异无统计学意义(P〉0.05);超声引导组和腹腔镜组手术时间［(71.03±24.31)min比(70.92±25.04)min］、住院时间［

2、(4.01±2.33)d比(3.95±2.09)d］，差异无统计学意义(P〉0.05);两组术中出血量、排尿导管滞留时间、肛门排气时间、抗生素应用时间、医疗费用、下床活动时间、血人绒毛膜促性腺激素(3-HCG)降至正常所需要的时间、是否需要应用术后镇痛剂以及术后生活质量各领域评分情况比较，差异均无统计学意义(均P>0.05)。结论经阴道超声引导与腹腔镜下手术作为新型的异位妊娠手术治疗方法具有相似的临床疗效，能为患者带来更多福音。［关键词］经阴道超声引导；腹腔镜；异位妊娠；手术疗效［中图分类号］R714.2［文献标识码］A［文章编号］1673-721

3、0(2014)04(a)-0044-04Comparisonanalyzeoftherapeuticeffectoftrans-vaginalultrasound-guidedinterventionaltherapywithlaparoscopetreatmentforectopicpregnancySANGBianjuanWENGKeLOUFenfenDepartmentofGynaecologyandObstetrics,theSecondPeople’sHospitalofDongyangCity,ZhejiangProvince,Dong

4、yang322118,China[Abstract]ObjectiveTocomparethetherapeuticeffectoftrans-vaginalultrasound-guidedinterventionaltherapywithlaparoscopetreatmentforectopicpregnancy.Methods120caseswithectopicgestationintheSecondPeople’sHospitalofDongyangCityfromJanuary2011toJanuary2013intheSecondP

5、eople’sHospitalofDongyangCitywereselectedasstudyobjects，andtheyweredividedintoultrasound-guidedgroupandlaparoscopetreatmentgroupaccordingtothesurgicalmethods,with60casesineachgroup.Therapeuticeffectandclinicalparametersintra-operativeorpostoperativeintwogroupswerecompared.Resu

6、ltsThetotalefficiencyrateofthetreatmentinultrasound-guidedgroupandlaparoscopetreatmentgroupwere96.67%,93.33%respectively,Therewasnostatisticallysignificantdifference(P>0.05)；Therewerenosignificanceinoperationtime[(71.03±24.31)minvs(70.92±25.04)min]，hospitalstaytime[(4.01±2.33)

7、dvs(3.95±2.09)d]ofultrasound-guidedgroupandlaparoscopetreatmentgroup(P>0.05),andtherewerenosignificantdifferencesinbloodloss,urinationcatheterretentiontime,flatus,applicationtimeofantibiotics,medicalexpenses,activitytime,timeof3~HCGdropstonormalqualityoflifescorepostoperativeo

8、fthetwogroups(P>0.05).ConclusionBothtrans-vaginalultrasound-g