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腹腔镜手术与传统开腹手术治疗异位妊娠失血性休克的对比研究 预览 被引量:14

Comparative study of ectopic pregnancy with hemorrhagic shock treated by laparoscopic and traditional open surgery
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摘要 目的:探讨腹腔镜手术治疗异位妊娠失血性休克的可行性、安全性及治疗效果。方法:回顾分析2000年1月至2009年12月为135例异位妊娠失血性休克患者施行手术治疗的临床资料,其中行腹腔镜手术90例、传统开腹手术45例,对比两组术中与术后的相关情况。结果:两组病例均无严重并发症发生,手术时间、术中出血量两组差异无统计学意义,腹腔镜组术后排气时间、术后病率及住院时间等均明显优于传统开腹组。结论:异位妊娠失血性休克患者在抗休克治疗的同时行腹腔镜手术是安全、可行的。 Objective:To study the feasibility,security and efficacy of laparoscopic treatment for hemorrhagic shock caused by ectopic pregnancy.Methods:The retrospective analysis was made on the clinical data of 135 cases of hemorrhagic shock due to ectopic pregnancy from Jan.2000 to Dec.2009,of which 90 cases underwent laparoscopic surgery and 45 cases received traditional open surgery.The two groups were compared in terms of the situation during operation and post-operative results.Results:There was no severe complications in either of groups,and no significant difference in terms of operation time or blood loss.Laparoscopic surgery group was superior to the traditional surgery in terms of postoperative exhaust time,morbidity and hospital stay.Conclusions:Laparoscopic surgery accompanied with anti-shock therapy is safe and feasible for patients suffering with hemorrhagic shock due to ectopic pregnancy.
作者 钱海虹 程忠平 QIAN Hai-hong,CHENG Zhong-ping.Dept.of Obstetrics and Gynecology,Yangpu Central Hospital,Shanghai 200090,China
出处 《腹腔镜外科杂志》 2010年第12期 944-946,共3页 Journal of Laparoscopic Surgery
关键词 妊娠 异位 休克 出血性 腹腔镜检查 剖腹术 对比研究 Pregnancy ectopic Shock hemorrhagic Laparoscopy Laparotomy Comparative study
作者简介 作者简介:钱海虹(1970~)女,上海市杨浦区中心医院妇产科主治医师,主要从事妇产科方面的研究。
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