单孔腹腔镜下输卵管妊娠手术的治疗效果  

Therapeutic effect of single-hole laparoscopic tubal pregnancy surgery

作　　者：柏雪 Bai Xue(Department of Gynecology,Pizhou People's Hospital New Area Hospital,Pizhou 221300,China)

机构地区：[1]邳州市人民医院新区医院妇科,江苏邳州221300

出　　处：《实用妇科内分泌电子杂志》2024年第15期28-30,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的探讨单孔腹腔镜应用于输卵管妊娠手术中的效果。方法选取80例输卵管妊娠患者为研究对象,以随机数字表法分为研究组与对照组,每组40例。对照组行传统三孔腹腔镜手术,研究组行经脐单孔腹腔镜手术。对比两组患者的术后恢复情况。结果术后,研究组雌二醇水平高于对照组,促卵泡生成激素、孕酮、促黄体生成素水平均低于对照组(P<0.05)。术后,研究组宫内妊娠成功率、输卵管畅通率分别为100%、97.50%,均高于对照组的90.00%、85.00%,异位妊娠复发率为0,低于对照组的12.50%,差异有统计学意义(P<0.05)。结论经脐单孔腹腔镜下输卵管妊娠手术可以有效、安全地切除异位妊娠组织,减少手术创伤,缩短患者术后恢复时间,提高生育率,具有较高的应用价值。Objective To investigate the effect of single-hole laparoscopy in tubal pregnancy surgery.Methods 80 patients of tubal pregnancy were selected as the research objects and were divided into a study group and a control group by random number table method,with 40 cases in each group.The control group underwent traditional three-hole laparoscopic surgery,and the study group underwent transumbilical single-hole laparoscopic surgery.The postoperative recovery of the two groups was compared.Results After surgery,the level of estradiol in the study group was higher than that in the control group,while the levels of follicle-stimulating hormone,progesterone and luteinizing hormone were lower than those in the control group(P<0.05).After surgery,the intrauterine pregnancy success rate and tubal unblocked rate of the study group were 100% and 97.50%,respectively,higher than 90.00% and 85.00% of the control group,and the recurrence rate of ectopic pregnancy was 0,lower than 12.50% of the control group,the differences were statistically significant(P<0.05).Conclusion Transumbilical singlehole laparoscopic tubal pregnancy surgery can effectively and safely remove ectopic pregnancy tissue,reduce surgical trauma,shorten postoperative recovery time,and increase fertility.It has high application value.

关 键 词：单孔腹腔镜 输卵管妊娠 临床效果 

分 类 号：R713.8[医药卫生—妇产科学]