腹腔镜手术治疗异位妊娠的临床疗效观察

中国基层医药 Pub Date : 2020-03-15 DOI:10.3760/CMA.J.ISSN.1008-6706.2020.06.011

Hui-ying Wang

{"title":"腹腔镜手术治疗异位妊娠的临床疗效观察","authors":"Hui-ying Wang","doi":"10.3760/CMA.J.ISSN.1008-6706.2020.06.011","DOIUrl":null,"url":null,"abstract":"Objective \nTo investigate the effect of laparoscopic surgery in the treatment of ectopic pregnancy and its influence on pregnancy and complications. \n \n \nMethods \nFrom January 2014 to January 2018, 130 cases of ectopic pregnancy patients admitted to the Fourth People's Hospital of Tongxiang were selected.Among them, 93 cases with fertility requirements were selected as the study subjects.According to different surgical method, they were divided into observation group (46 cases) and control group (47 cases). The observation group was treated by laparoscopic surgery, while the control group was treated by open surgery.The operative indicators and complications were compared between the two groups.The pregnancy was followed up at 12 months after operation. \n \n \nResults \nThe bleeding volume in the observation group was (43.24±8.98)mL, which was less than that in the control group[(87.94±15.46)mL], the anal exhaust time[(14.96±3.24)h] and the time of getting out of bed activity[(10.13±2.41)h]in the observation group were shorter than that in the control group[(26.53±2.89)h and (18.65±2.76)h], the hospitalization time[(5.41±1.23)d] and the operation time[(65.89±13.21)min] in the observation group were shorter than that in the control group[(7.87±1.54)d and (81.32±14.25)min], the differences between the two groups were statistically significant(t=17.002, 18.183, 15.844, 8.501, 5.405, all P<0.05). The incidence of postoperative complications in the observation group (6.52%) was lower than that in the control group (25.53%) (χ2=6.211, P<0.05). The intrauterine pregnancy rate in the observation group (78.26%) was higher than that in the control group (51.06%) (χ2=7.482, P<0.05). \n \n \nConclusion \nLaparoscopic surgery is effective in the treatment of ectopic pregnancy.It can improve the rate of intrauterine pregnancy, reduce postoperative complications and shorten hospitalization time. \n \n \nKey words: \nPregnancy, ectopic; Laparoscopic; Effect; Pregnancy; Complications","PeriodicalId":10226,"journal":{"name":"中国基层医药","volume":"27 1","pages":"690-693"},"PeriodicalIF":0.0000,"publicationDate":"2020-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Observation on the clinical effect of laparoscopic surgery in the treatment of ectopic pregnancy\",\"authors\":\"Hui-ying Wang\",\"doi\":\"10.3760/CMA.J.ISSN.1008-6706.2020.06.011\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Objective \\nTo investigate the effect of laparoscopic surgery in the treatment of ectopic pregnancy and its influence on pregnancy and complications. \\n \\n \\nMethods \\nFrom January 2014 to January 2018, 130 cases of ectopic pregnancy patients admitted to the Fourth People's Hospital of Tongxiang were selected.Among them, 93 cases with fertility requirements were selected as the study subjects.According to different surgical method, they were divided into observation group (46 cases) and control group (47 cases). The observation group was treated by laparoscopic surgery, while the control group was treated by open surgery.The operative indicators and complications were compared between the two groups.The pregnancy was followed up at 12 months after operation. \\n \\n \\nResults \\nThe bleeding volume in the observation group was (43.24±8.98)mL, which was less than that in the control group[(87.94±15.46)mL], the anal exhaust time[(14.96±3.24)h] and the time of getting out of bed activity[(10.13±2.41)h]in the observation group were shorter than that in the control group[(26.53±2.89)h and (18.65±2.76)h], the hospitalization time[(5.41±1.23)d] and the operation time[(65.89±13.21)min] in the observation group were shorter than that in the control group[(7.87±1.54)d and (81.32±14.25)min], the differences between the two groups were statistically significant(t=17.002, 18.183, 15.844, 8.501, 5.405, all P<0.05). The incidence of postoperative complications in the observation group (6.52%) was lower than that in the control group (25.53%) (χ2=6.211, P<0.05). The intrauterine pregnancy rate in the observation group (78.26%) was higher than that in the control group (51.06%) (χ2=7.482, P<0.05). \\n \\n \\nConclusion \\nLaparoscopic surgery is effective in the treatment of ectopic pregnancy.It can improve the rate of intrauterine pregnancy, reduce postoperative complications and shorten hospitalization time. \\n \\n \\nKey words: \\nPregnancy, ectopic; Laparoscopic; Effect; Pregnancy; Complications\",\"PeriodicalId\":10226,\"journal\":{\"name\":\"中国基层医药\",\"volume\":\"27 1\",\"pages\":\"690-693\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2020-03-15\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"中国基层医药\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.3760/CMA.J.ISSN.1008-6706.2020.06.011\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"中国基层医药","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3760/CMA.J.ISSN.1008-6706.2020.06.011","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 0

摘要

目的探讨腹腔镜手术治疗异位妊娠的效果及其对妊娠和并发症的影响。方法选择2014年1月~ 2018年1月桐乡市第四人民医院收治的异位妊娠患者130例。选取有生育需求的患者93例作为研究对象。根据手术方式不同分为观察组(46例)和对照组(47例)。观察组采用腹腔镜手术治疗，对照组采用开放手术治疗。比较两组手术指标及并发症。术后12个月随访妊娠情况。结果观察组出血量为(43.24±8.98)mL，少于对照组(87.94±15.46)mL，肛门排气时间[(14.96±3.24)h]和下床活动时间[(10.13±2.41)h]短于对照组[(26.53±2.89)h和(18.65±2.76)h];观察组住院时间[(5.41±1.23)d]、手术时间[(65.89±13.21)min]均短于对照组[(7.87±1.54)d、(81.32±14.25)min]，两组比较差异均有统计学意义(t=17.002、18.183、15.844、8.501、5.405,P均<0.05)。观察组术后并发症发生率(6.52%)低于对照组(25.53%)(χ2=6.211, P<0.05)。观察组宫内妊娠率(78.26%)高于对照组(51.06%)(χ2=7.482, P<0.05)。结论腹腔镜手术是治疗异位妊娠的有效方法。可提高宫内妊娠率，减少术后并发症，缩短住院时间。关键词:妊娠;异位;腹腔镜;效果;怀孕;并发症

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Observation on the clinical effect of laparoscopic surgery in the treatment of ectopic pregnancy

Objective To investigate the effect of laparoscopic surgery in the treatment of ectopic pregnancy and its influence on pregnancy and complications. Methods From January 2014 to January 2018, 130 cases of ectopic pregnancy patients admitted to the Fourth People's Hospital of Tongxiang were selected.Among them, 93 cases with fertility requirements were selected as the study subjects.According to different surgical method, they were divided into observation group (46 cases) and control group (47 cases). The observation group was treated by laparoscopic surgery, while the control group was treated by open surgery.The operative indicators and complications were compared between the two groups.The pregnancy was followed up at 12 months after operation. Results The bleeding volume in the observation group was (43.24±8.98)mL, which was less than that in the control group[(87.94±15.46)mL], the anal exhaust time[(14.96±3.24)h] and the time of getting out of bed activity[(10.13±2.41)h]in the observation group were shorter than that in the control group[(26.53±2.89)h and (18.65±2.76)h], the hospitalization time[(5.41±1.23)d] and the operation time[(65.89±13.21)min] in the observation group were shorter than that in the control group[(7.87±1.54)d and (81.32±14.25)min], the differences between the two groups were statistically significant(t=17.002, 18.183, 15.844, 8.501, 5.405, all P<0.05). The incidence of postoperative complications in the observation group (6.52%) was lower than that in the control group (25.53%) (χ2=6.211, P<0.05). The intrauterine pregnancy rate in the observation group (78.26%) was higher than that in the control group (51.06%) (χ2=7.482, P<0.05). Conclusion Laparoscopic surgery is effective in the treatment of ectopic pregnancy.It can improve the rate of intrauterine pregnancy, reduce postoperative complications and shorten hospitalization time. Key words: Pregnancy, ectopic; Laparoscopic; Effect; Pregnancy; Complications

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

中国基层医药

CiteScore

0.10

自引率

0.00%

发文量

32251

期刊介绍： Since its inception, the journal "Chinese Primary Medicine" has adhered to the development strategy of "based in China, serving the grassroots, and facing the world" as its publishing concept, reporting a large amount of the latest medical information at home and abroad, prospering the academic field of primary medicine, and is praised by readers as a medical encyclopedia that updates knowledge. It is a core journal in China's medical and health field, and its influence index (CI) ranks Q2 in China's academic journals in 2022. It was included in the American Chemical Abstracts in 2008, the World Health Organization Western Pacific Regional Medical Index (WPRIM) in 2009, and the Japan Science and Technology Agency Database (JST) and Scopus Database in 2018, and was included in the Wanfang Data-China Digital Journal Group and the China Academic Journal Comprehensive Evaluation Database.