A clinical control study on therapeutic effects of laparoscopy and laparotomy for treatment of tubal pregnancy

Objective:To explore the advantages,disadvantages,and safeties of laparoscopy and laparotomy for treatment of patients with tubal pregnancy. Methods:A total of 90 patients with tubal pregnancy were selected as study objects,including 53 patients receiving laparoscopy(laparoscopy group) and 37 patients receiving laparotomy(laparotomy group);the operation times,the amounts of blood loss during operation,the mean temperatures within three days after operation,the anal exhausting times,the postoperative times leaving beds,the total hospitalization times,the intraoperative and postoperative complications in the two groups were observed. Results:The amount of blood loss during operation,the mean temperature within three days after operation,the anal exhausting time,the postoperative time leaving beds,the hospitalization expense,and the total hospitalization time in laparotomy group were statistically significantly longer(higher) than those in laparoscopy group,but the operation time in laparoscopy group was statistically significantly longer than that in laparotomy group(P0.05).In laparotomy group,the blood β-human chorionic gonadotropin(β-HCG) levels of two patients didn't decrease after operation,then they returned to normal levels after drug treatment. Conclusion:The advantages of laparoscopy for treatment of tubal pregnancy include rapid recovery and minimal invasion,but the expense is high,the total clinical curative effect of laparoscopy is superior to laparotomy.