本文選題：妊娠　切入點(diǎn)：異位　出處：《廣東醫(yī)學(xué)》2007年07期

【摘要】：目的探討異位妊娠腹腔鏡保守性手術(shù)圍手術(shù)期中西醫(yī)結(jié)合治療及純西醫(yī)治療的近遠(yuǎn)期療效。方法回顧性分析行腹腔鏡保守性手術(shù)治療的308例異位妊娠患者,其中中西醫(yī)結(jié)合治療組200例,純西醫(yī)治療組108例,比較兩組手術(shù)時(shí)間、術(shù)中出血量、術(shù)后肛門排氣時(shí)間、住院總費(fèi)用、住院時(shí)間、術(shù)后血HCG下降的幅度、術(shù)后持續(xù)性異位妊娠發(fā)生率、月經(jīng)恢復(fù)時(shí)間、術(shù)后再孕及再次異位妊娠等。結(jié)果兩組手術(shù)時(shí)間、術(shù)中出血量、住院總費(fèi)用、術(shù)后月經(jīng)恢復(fù)時(shí)間、術(shù)后再孕及再次異位妊娠差異無(wú)顯著性(P0.05),而兩組術(shù)后肛門排氣時(shí)間、住院天數(shù)、術(shù)后HCG下降幅度、術(shù)后持續(xù)性異位妊娠發(fā)生率等比較差異有顯著性(P0.05)。結(jié)論異位妊娠腹腔鏡保守性手術(shù)圍手術(shù)期中西醫(yī)結(jié)合治療,能夠提高術(shù)后胃腸功能恢復(fù),促進(jìn)術(shù)后HCG下降,降低術(shù)后持續(xù)性異位妊娠的發(fā)生率。
[Abstract]:Objective to investigate the short-term and long-term effects of laparoscopic conservative surgery with traditional Chinese medicine and western medicine in the perioperative period of ectopic pregnancy. Methods 308 cases of ectopic pregnancy treated by laparoscopic conservative surgery were retrospectively analyzed. There were 200 cases in the treatment group of integrated traditional Chinese and western medicine and 108 cases in the pure western medicine group. The operation time, the amount of blood loss during the operation, the time of anal exhaust after operation, the total cost of hospitalization, the length of hospitalization, the extent of the decrease of blood HCG after operation were compared between the two groups. Results the operative time, intraoperative bleeding volume, total hospitalization cost, postoperative menstrual recovery time, postoperative menstrual recovery time, and re-ectopic pregnancy were observed in the two groups, including the incidence of persistent ectopic pregnancy, the time of menstrual recovery, the time of re-pregnancy and re-ectopic pregnancy. There was no significant difference in postoperative re-pregnancy and re-ectopic pregnancy between the two groups (P 0.05). However, the postoperative anal exhaust time, hospital stay and HCG decreased in the two groups. There was significant difference in the incidence of persistent ectopic pregnancy after operation (P0.050.Conclusion combined treatment of traditional Chinese and western medicine during laparoscopic conservative surgery can improve the recovery of gastrointestinal function and promote the decrease of HCG after operation. Reduce the incidence of persistent ectopic pregnancy after operation.
【作者單位】： 廣東省中醫(yī)院婦科 廣東省中醫(yī)院婦科
【分類號(hào)】：R713

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本文編號(hào)：1654187