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Economic Evaluation of Operative Methods in Treatment of Ectopic Pregnancy

Peng Lai-qin

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Abstract

Objective To explore the cost-effectiveness of laparoscopy and laparotomy in the treatment of ectopic pregnancy. Methods 62 cases of ectopic pregnancy using laparoscopy in treatment and 78 cases of ectopic pregnancy using laparostomy in the same period were retrospectively analyzed. The operative effects, total cost and cost components were compared. Results Compared with the laparotomy group, the patients who underwent laparoscopy enjoyed a quicker operation,a higher oviduct reservation rate, a less blood loss and a better recovery. There are obviously differences between two groups (P0.01). The hospitalization charge, operation cost, non-operation cost of laparoscopy group was higher than laparotomy group, but the off-work loss of laparoscopy group was less than laparotomy group significantly. The total costs of the two groups had no statistical difference. Conclusions The patients who underwent laparoscopy enjoy a better effect. According to the mean income level of employees in Huizhou,the social cost of laparoscopy in the treatment of ectopic pregnancy is less than laparotomy. Laparoscopy may be better than laparotomy in the treatment of ectopic pregnancy.

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Objective To explore the cost-effectiveness of laparoscopy and laparotomy in the treatment of ectopic pregnancy. Methods 62 cases of ectopic pregnancy using laparoscopy in treatment and 78 cases of ectopic pregnancy using laparostomy in the same period were retrospectively analyzed. The operative effects, total cost and cost components were compared. Results Compared with the laparotomy group, the patients who underwent laparoscopy enjoyed a quicker operation,a higher oviduct reservation rate, a less blood loss and a better recovery. There are obviously differences between two groups (P0.01). The hospitalization charge, operation cost, non-operation cost of laparoscopy group was higher than laparotomy group, but the off-work loss of laparoscopy group was less than laparotomy group significantly. The total costs of the two groups had no statistical difference. Conclusions The patients who underwent laparoscopy enjoy a better effect. According to the mean income level of employees in Huizhou,the social cost of laparoscopy in the treatment of ectopic pregnancy is less than laparotomy. Laparoscopy may be better than laparotomy in the treatment of ectopic pregnancy.

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Available abstract

Objective To explore the cost-effectiveness of laparoscopy and laparotomy in the treatment of ectopic pregnancy. Methods 62 cases of ectopic pregnancy using laparoscopy in treatment and 78 cases of ectopic pregnancy using laparostomy in the same period were retrospectively analyzed. The operative effects, total cost and cost components were compared. Results Compared with the laparotomy group, the patients who underwent laparoscopy enjoyed a quicker operation,a higher oviduct reservation rate, a less blood loss and a better recovery. There are obviously differences between two groups (P0.01). The hospitalization charge, operation cost, non-operation cost of laparoscopy group was higher than laparotomy group, but the off-work loss of laparoscopy group was less than laparotomy group significantly. The total costs of the two groups had no statistical difference. Conclusions The patients who underwent laparoscopy enjoy a better effect. According to the mean income level of employees in Huizhou,the social cost of laparoscopy in the treatment of ectopic pregnancy is less than laparotomy. Laparoscopy may be better than laparotomy in the treatment of ectopic pregnancy.

Key concepts: Medicine, Laparotomy, Laparoscopy, Ectopic pregnancy, Surgery, Blood loss, Pregnancy, Biology

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