单切口与多切口腹腔镜下输卵管切除术治疗输卵管妊娠的差异性分析  

Analysis of the Difference between single Incision and multi Incision laparoscopic Salpingectomy for tubal Pregnancy

作　　者：徐硕 XU Shuo(Department of Obstetrics and Gynecology,Shangqiu Hospital of traditional Chinese medicine,Shangqiu Henan 476000,China)

机构地区：[1]商丘市中医院妇产科,河南商丘476000

出　　处：《临床研究》2022年第9期18-21,共4页Clinical Research

摘　　要：目的探究单切口与多切口腹腔镜下输卵管切除术治疗输卵管妊娠的疗效及术后康复效果差异性。方法研究对象选取为2020年1月至2021年4月商丘市中医院收治的输卵管妊娠患者104例,所有患者均接受腹腔镜下输卵管切除术治疗,采用数字表法将以上患者随机分为A、B两组,每组各52名患者,A组患者采用经脐单切口手术,B组患者则采用传统的三孔入路手术,对比两组患者的各项手术指标、术后并发症情况、术后的肛门排气时间、疼痛评分(VAS)、切口满意度、术前和术后1 d的疼痛相关血清指标[血清神经肽Y(NPY)及P质(SP)]、性激素指标[黄体生成素(LH)及血卵泡刺激素(FSH)]、卵巢状态相关指标(卵巢截面积,窦状卵泡数)。结果两组患者的手术时间、术中出血量对比,差异无统计学意义(P>0.05),A组患者的住院时间显著低于B组,差异有统计学意义(P<0.05);A组、B组的术后并发症发生率分别为3.85%(2/52)、5.77%(3/52),两组对比,差异无统计学意义(P>0.05);A组患者的肛门排气时间、VAS评分及切口满意度评分与B组相比,差异有统计学意义(P<0.05)。术后1 d,两组患者的NPY、SP均较术前明显降低,差异有统计学意义(P<0.05),且A组患者的NPY、SP均显著低于B组,两组对比,差异有统计学意义(P<0.05)。术后1 d,两组患者的FSH、LH均较术前明显升高,差异有统计学意义(P<0.05)。两组患者的卵巢截面积、窦状卵泡数均较术前降低,差异有统计学意义(P<0.05)。结论经脐单切口入路行腹腔镜下输卵管切除术治疗输卵管妊娠的疗效确切,与传统三孔入路相比有效改善了术后康复效果,且不会增加并发症的发生率,值得在临床上应用。Objective To explore the difference between single incision and multi incision laparoscopic salpingectomy in the treatment of tubal pregnancy and postoperative rehabilitation.Methods A total of 104 patients with tubal pregnancy admitted to Shangqiu Hospital of traditional Chinese medicine from January 2020 to April 2021 were selected for the study.All patients were treated with laparoscopic salpingectomy.The above patients were randomly divided into group A and group B with 52 patients in each group by digital table method.Patients in group A were treated with single incision through umbilicus,while patients in group B were treated with traditional three hole approach postoperative complications,postoperative anal exhaust time,pain score(VAS),incision satisfaction,pain related serum indicators[serum neuropeptide Y(NPY)and substance P(SP)]before and 1 day after surgery,sex hormone indicators[luteinizing hormone(LH)and blood follicle stimulating hormone(FSH)],ovarian status related indicators(ovarian cross-sectional area,number of sinus follicles)were compared.Results There was no significant difference in the operation time and intraoperative bleeding between the two groups(P>0.05).The hospitalization time of group A was significantly lower than that of group B(P<0.05);The postoperative complication rates of group A and group B were 3.85%(2/52)and 5.77%(3/52),respectively,there was no significant difference between the two groups(P>0.05);There was a significant difference in the anal exhaust time,VAS score and incision satisfaction score between group A and group B(P<0.05).On the 1st day after operation,the NPY and SP of the two groups were significantly lower than those before operation(P<0.05),and the NPY and SP of the patients in group A were significantly lower than those in group B(P<0.05).On the 1st day after operation,FSH and LH of the two groups were significantly higher than those before operation(P<0.05).The ovarian cross-sectional area and the number of antral follicles in the two groups were significan

关 键 词：输卵管妊娠 腹腔镜 输卵管切除术 单切口 

分 类 号：R713.51[医药卫生—妇产科学]