摘要:目的:探讨对异位妊娠患者行腹腔镜手术及开腹手术治疗后的临床效果。方法:选取笔者所在医院2013年1月-2015年6月收治的行手术治疗的异位妊娠患者90例,随机分为两组,每组45例。A组患者行腹腔镜手术,B组患者行开腹手术。观察分析两组患者的手术时间、术中出血量、肛门排气时间、下床活动时间、住院时间和并发症的发生情况。治疗结束后随访半年,观察两组患者术后输卵管通畅情况及妊娠情况。结果:与B组比较,A组患者的手术出血量少,手术时间、肛门排气时间、下床活动时间及住院时间短,差异均有统计学意义(P<0.05)。A组患者并发症发生情况较B组少,术后输卵管通畅率及宫内妊娠率均显著高于B组,差异均有统计学意义(P<0.05)。结论:采用腹腔镜手术对异位妊娠患者进行治疗,创伤小、术后恢复快、伤口美观且并发症较少,术后患者输卵管通畅率及宫内妊娠率均得以提升,该技术值得在临床应用推广。%Objective:To investigate the clinical effect of laparoscopic surgery and open surgery in the treatment of patients with ectopic gestation. Method:Ninety cases of patients with ectopic gestation underwent surgical treatment in our hospital from January 2013 to June 2015 were selected and randomly divided into two groups,45 patients in each group.The group A was treated with laparoscopic surgery,while the group B was given open surgery. The operative time,bleeding volume,anal exhaust time,ambulation time,hospitalization time and complications of both two groups were observed. All the patients were followed up for half a year after the treatment to observe the postoperative tubal patency rate and pregnancies.Result:Compared with group B, the bleeding volume of group A was less,and the operative time,anal exhaust time,ambulation time and hospitalization time were significantly shorter, the differences were statistically significant(P<0.05).The complications in group A was less than that in group B,while the postoperative tubal patency rate and the intrauterine pregnancy rate in group A were significantly higher than those in group B,the differences were statistically significant(P<0.05). Conclusion:Laparoscopic operation makes less trauma and faster postoperative recovery in the treatment of patients with ectopic pregnancy,it causes less complications and better wound appearance,the postoperative tubal patency rate and postoperative intrauterine pregnancy rate of patients significantly increased.So the technology is worthy to be popularized in clinical application.