Comparison of treatment effect between laparoscopic surgery and open surgery for ectopic pregnancy / 中国基层医药

ABSTRACT

Objective To compare two surgical methods of ectopic pregnancy between laparoscopic and laparotomy and evaluate therapeutic effect. Methods The clinical data of ectopic pregnancy patients who underwent from laparoscopic(65 cases) and open surgery(54 cases) were retrospectively analyzed,the data such as total blood loss,postoperative demulcent effect, the anus exhausting time, postoperative complications, duration of hospitalization, fever,and duration of antibiotics, abdominal scar, indwelling catheter time were analyzed between these groups. Results There were significant differences on total blood loss[(37.5 ± 15.6)ml vs (21.3 ± 9.5)ml], postoperative demulcent effect(82% vs 26%), the anus exhausting time [(32. 6 ± 7.8) h vs (19.4 ± 4. 2) h], postoperative complications (46% vs 17%) ,duration of hospitalization[(7.6 ± 1.9) d vs(3.3 ± 1.1) d] ,fever(74% vs 24%), and duration of antibiotics [(6.3 ± 2.2) h vs (3.6 ± 1.2) h], abdominal scar (with vs without), indwelling catheter time [(29.5 ±4. 6) h vs(7.4 ± 2.3) h] between laparotomy and laparoscopic groups (P ＜ 0. 05). Conclusion Laparoscopic surgical treatment of ectopic pregnancy was superior to the traditional open group.