单孔腹腔镜手术治疗异位妊娠临床分析  

CLINICAL ANALYSIS OF LAPAROENDOSCOPIC SINGLE-SITE SURGERY FOR ECTOPIC PREGNANCY

作　　者：张霞[1] 陈友国[2] 

机构地区：[1]上海交通大学附属苏州九龙医院妇产科,江苏苏州215028 [2]苏州大学附属第一医院妇产科

出　　处：《青岛大学医学院学报》2015年第6期736-738,共3页Acta Academiae Medicinae Qingdao Universitatis

摘　　要：目的探讨经脐单孔腹腔镜手术（LESS）诊治异位妊娠的安全性及可行性。方法回顾性分析2010年6月—2012年9月苏州大学附属第一医院诊断为异位妊娠病人共72例,其中接受LESS治疗病人（LESS组）26例,行传统腹腔镜手术（CLS组）病人46例。比较两组病人手术时间、术中出血量、术后疼痛视觉模拟评分（VAS）、术后住院天数、围术期并发症、术后血人绒毛膜促性腺激素（β-HCG）下降至正常时间及术后病人腹壁美容满意度评分等指标。结果 LESS组与CLS组比较,手术时间延长,但术后住院时间缩短、疼痛较轻及病人满意度较高（t=3.42～7.12,P〈0.05）;而术中出血量、围术期并发症、术后血β-HCG下降至正常时间与CLS组比较差异均无显著性（P〉0.05）。结论 LESS治疗异位妊娠达到了微创与美容的效果,是安全可行的。Objective To assess the safety and feasibility of laparoendoscopic single-site surgery（LESS）for ectopic pregnancy. Methods During June 2010 to September 2012,72 patients with ectopic pregnancy were hospitalized.Of whom,26 underwent LESS,while 46 received conventional laparoscopic surgery（CLS）.The operation time,intraoperative blood loss,vision analogue scale（VAS）,postoperative hospital stay,perioperative complications,time of HCG dropped to normal level,and patient＇s satisfaction on abdominal wall were compared between the two groups. Results The operation time in LESS group was longer versus CLS groug,but postoperative hospital stay was shorter,less pain and patient satisfaction was higher（t=3.42-7.12,P〈0.05）.The differences of blood loss at surgery,perioperative complications and time of blood HCG dropped to normal level were not significantly different between the two groups（P〉0.05）. Conclusion Laparoendoscopic single-site surgery for ectopic pregnancy achieves minimally invasive and cosmetic effect,which is safe and feasible.

关 键 词：腹腔镜检查 妊娠 异位 治疗结果 

分 类 号：R713.8[医药卫生—妇产科学]