CHỬA NGOÀI TỬ CUNG THỂ NGẬP MÁU Ổ BỤNG: SO SÁNH KẾT QUẢ PHẪU THUẬT NỘI SOI VỚI PHẪU THUẬT MỞ BỤNG

Abstract

Objective: To evaluate the safety and effectiveness of laparoscopic and laparotomy in the treatment of ectopic pregnancy with abdominal apoplexy at Military Hospital 103 from April 2020 to September 2022. Subjects and methods: A cross-sectional study on 53 patients diagnosed of ectopic pregnancy with abdominal apoplexy treated at Military Hospital 103 from April 2020 to September 2022. Results: There were 22 patients treated by laparotomy (41.5%) and 31 patients treated by laparoscopy (58.5%). The mean surgery time of the laparotomy group was 50.00±9.38 minutes, and the laparoscopy group was 59.84±9.44 minutes. The mean intra-abdominal blood loss of the laparotomy group was 2000.00±377.96 ml and the laparoscopy group was 1083.87±288.78 ml. 100% of patients undergoing laparotomy required blood transfusion, the figure for the laparoscopy was 64.5%. The mean blood transfusion volume of the laparotomy group was 834.09±331.80 ml and the laparoscopy group was 364.52±316.01 ml. 4.5% of patients in the laparotomy group and 25.8% of patients in the laparoscopy group used prophylactic antibiotics, the mean antibiotic time of the laparotomy group was 4.05±1 ,43 days, 2.97±1.37 days of laparoscopy group. The average number of postoperative analgesic doses of the laparotomy group was 2.14±0.46 doses, and that of the laparoscopy group was 1.45±0.56 doses. The mean hospital stay of the laparotomy group was 4.68±1.04 days, and that of the laparoscopy group was 3.81±0.94 days. Conclusion: The rate of treatment of ectopic pregnancy with abdominal apoplexy by laparotomy was 58.5% and laparoscopy was 41.5%. The laparoscopy group had longer mean operative time, less intra-abdominal mean blood loss and mean blood transfusion volume, shorter mean days of antibiotic use, and fewer mean analgesic doses, a faster mean postoperative recovery time and the mean hospital stay was shorter than the laparotomy group. This difference was statistically significant with p<0.05.