经脐单孔腹腔镜手术在输卵管结扎中的安全性及有效性观察  

Observation on the safety and effectiveness of transumbilical single-incision laparoscopic surgery in tubal ligation

作　　者：薛柳恋 XUE Liu-lian(Department of Gynecology,the Sixth People′s Hospital of Huizhou,Guangdong Province,Huizhou516200,China)

机构地区：[1]广东省惠州市第六人民医院妇科,广东惠州516200

出　　处：《中国当代医药》2021年第18期8-11,16,共5页China Modern Medicine

基　　金：广东省惠州市科技计划项目(190408114571602)。

摘　　要：目的探讨经脐单孔腹腔镜手术在输卵管结扎中的安全性及有效性。方法选取2017年1月~2019年4月惠州市第六人民医院自愿要求行输卵管结扎术的60例已婚适龄女性作为研究对象,采用随机数字表法分为观察组和对照组,每组各30例。对照组进行抽芯包埋法输卵管结扎术,观察组进行经脐单孔腹腔镜术。比较两组患者的手术相关指标及术后随访情况,评估两种手术方法的安全性、可接受性和有效性。结果观察组术中出血量少于对照组,术中疼痛感低于对照组,术后留观时间短于对照组,术中异常情况发现率高于对照组,差异有统计学意义(P<0.05);两组术中并发症总发生率比较,差异无统计学意义(P>0.05)。术后1个月,观察组日常生活、劳动力、卵巢功能的影响小于对照组,满意度高于对照组,差异有统计学意义(P<0.05);术后3个月,观察组患者的月经异常率低于对照组,差异有统计学意义(P<0.05);随访12个月,两组均未发生妊娠情况。结论经脐单孔腹腔镜术较抽芯包埋法输卵管结扎术更具安全、有效、痛苦小、出血量少、恢复快等优势,在术中能够发现盆腔隐匿病灶,术后伤口愈合快,伤口愈合不良的发生率低。Objective To investigate the safety and effectiveness of transumbilical single-incision laparoscopic surgery in tubal ligation.Methods A total of 60 married women of the right age who voluntarily asked for tubal ligation in the Sixth People′s Hospital of Huizhou from January 2017 to April 2019 were selected as the research objective and divided into the observation group and the control group according to random number table method,with 30 cases in each group.The control group was treated with translation of core packing method,and the observation group was treated with transumbilical single-incision laparoscopic surgery.The surgical indicators and postoperative follow-up conditions were compared between the two groups,and the safety,acceptability and effectiveness of both surgical methods were evaluated.Results The intraoperative blood loss of the observation group were less than that of the control group,the intraoperative pain of the observation group were lower than that in the control group,the postoperative observation time of the observation group was shorter than that of the control group,and the rate of intraoperative abnormalities of the observation group was higher than that of the control group,the differences were statistically significant(P<0.05).There was no statistically significant difference of total intraoperative complications between the two groups(P>0.05).One month after the surgery,the influence of daily life,labor force and ovarian function in the observation group were less than those in the control group,the differences were statistically significant(P<0.05).Three months after the surgery,the menstrual abnormality rate was lower than that in the control group,and the difference was statistically significant(P<0.05).Follow-up for 12 months,neither group experienced a pregnancy.Conclusion Transumbilical single-incision laparoscopic surgery is more safe,effective,less pain,less bleeding,rapid recovery and other advantages than translation of core packing method.And the hidden pelvic lesio

关 键 词：输卵管绝育术 单孔腹腔镜 安全性 有效性 

分 类 号：R713.54[医药卫生—妇产科学]