经脐单孔腹腔镜输卵管切除术治疗输卵管妊娠的临床疗效观察  

Clinical observation of transumbilical Laparoendoscopic single site salpingectomy in the treatment of tubal pregnancy

作　　者：李文超[1] 吴娜 LI Wen-chao;WU Na(Department of Gynaecology and Obstetrics,Jiamusi Central Hospital,Jiamusi 154002,China)

机构地区：[1]佳木斯市中心医院,黑龙江佳木斯154002

出　　处：《黑龙江医药科学》2023年第1期65-66,69,共3页Heilongjiang Medicine and Pharmacy

摘　　要：目的:探讨输卵管妊娠患者经脐单孔腹腔镜下进行输卵管切除术的疗效。方法:选取2020-01~2021-01本院妇产科输卵管异位妊娠患者84例,根据治疗方式的不同分为观察组(经脐单孔腹腔镜输卵管切除术治疗,42例)和对照组(传统多孔腹腔镜手术治疗,42例)。记录手术时间、术中出血量、排气时间、术后2周血β-人绒毛膜促性腺激素(β-HCG)转阴率及并发症发生情况。随访1年,记录患者排卵率及妊娠率。结果:两组术中出血量、术后2周血β-HCG转阴率、随访1年排卵率及妊娠率比较,差异无统计学意义(P>0.05)。与对照组比较,观察组手术时间明显延长,术后患者排气时间明显缩短,并且并发症发生率明显降低,差异有统计学意义(P<0.05)。结论:经脐单孔腹腔镜输卵管切除治疗输卵管妊娠患者,可明显缩短患者术后排气时间,降低并发症发生率,安全有效。Objective:To investigate the effect of transumbilical Laparoendoscopic single site(LESS)salpingectomy in patients with tubal pregnancy.Methods:Eighty-four patients with ectopic tubal pregnancy in obstetrics and Gynecology Department of our hospital from January 2020 to January 2021 were selected and divided into observation group and control group according to different treatment methods,with 42 cases in each group.The observation group was treated with transumbilical LESS salpingectomy,and the control group was treated with traditional multi hole laparoscopic salpingectomy.The operation time,intraoperative bleeding volume,exhaust time,blood,the negative rate ofβ-HCG and the incidence of complications after operation 2 weeks were recorded.The patients were followed up for 1 year,and the ovulation rate and pregnancy rate were recorded.Results:There was no significant difference between the two groups in blood loss during operation,β-HCG after operation 2 weeks,and ovulation rate and pregnancy rate after 1-year follow-up(P>0.05).Compared with the control group,the operation time in the observation group was significantly longer,the postoperative exhaust time was significantly shorter,and the incidence of complications was significantly lower,with the significant difference(P<0.05).Conclusion:LESS salpingectomy can shorten the time of fallopian tube resection and reduce the incidence of fallopian tube complications.It’s safe and effective.

关 键 词：输卵管妊娠 经脐单孔腹腔镜手术 输卵管切除术 手术时间 

分 类 号：R713.51[医药卫生—妇产科学] R714.221[医药卫生—临床医学]