摘要
Abstract
Objective: To evaluate efficacy and feasibility of laparoscopy for ectopic pregnancy with hemorrhagic shock. Method: 75 cases of ectopic pregnancy with hemorrhagic shock treated with laparoscope and laparotomy from Jan. 2002 to Jun. 2009 in our hospital were retrospectively analyzed. 32 cases were in the laparoscopic group (observation group) and 43 cases in laparotomy group (control group). Parameters including operating time, the hemorrhage volume, the time staying in hospital after operation and the mean recovery time of bowel function were collected for comparison. Result: All patients operated successfully in observation group, and no complications occurred. In the observation group ,the operating time was (25.40± 9.10) min, the blood amount loss was (56. 88±59. 75) mL during operation, the mean recovery time of bowel function was (36.0±ll.41) h, the time staying on bed after the operation was (20.50±5.50) h, the time staying in hospital after operation (4.31 ±0.47) d. In the control group, the operating time was (64.80 ±22.90) min, the blood amount loss was (135.35±66. 85) mL during operation, the mean recovery time of bowel function was (47.07±15.50) h, the time staying on bed after the operation was (46.65±11.64) h, the time staying in hospital after operation was (7.02±0. 15) d. These's obvious statistical difference between two groups ( P < 0. 001) . Conclusion: Laparoscopy is safe and feasible for ectopic pregnancy with hemorrhagic shock, with skilled laparoscopic operation technique, prompt and effective anti-shock treatment, ideal anesthesia and monitor. It deserves to promote in clinical.关键词
异位妊娠/腹腔镜术/休克Key words
Ectopic pregnancy/Laparoscope/Shock
