单孔腹腔镜手术治疗输卵管异位妊娠的临床效果  

Clinical effect of single port laparoscopic surgery in the treatment of tubal ectopic pregnancy

作　　者：朱丽莉 王利红 徐文婷 ZHU Lili;WANG Lihong;XU Wenting(Gynaecology and Obstetrics Department,Zhangjiagang Hospital of Traditional Chinese Medicine,Zhangjiagang 215600,China;Reproductive Center,Zhangjiagang Hospital of Traditional Chinese Medicine,Zhangjiagang 215600,China)

机构地区：[1]张家港市中医医院妇产科,江苏张家港215600 [2]张家港市中医医院生殖中心,江苏张家港215600

出　　处：《临床医学研究与实践》2025年第10期38-41,共4页Clinical Research and Practice

基　　金：江苏省科技项目(No.BE2023734);2023年度苏州市重大疾病多中心临床研究项目(No.DZXYJ202311);苏州市科技计划项目(No.SKY2022070);苏州市2022年度第二十八批科技发展计划(医疗卫生科技创新)项目(No.SKYD2022010)。

摘　　要：目的探讨单孔腹腔镜手术治疗输卵管异位妊娠的临床效果。方法选取2019年7月至2022年6月我院收治的87例输卵管异位妊娠患者为研究对象,按照手术方式将其分为对照组(47例)和观察组(40例)。对照组接受多孔腹腔镜手术治疗,观察组接受单孔腹腔镜手术治疗。比较两组的围手术期指标、并发症发生情况、疼痛程度、血红蛋白(Hb)、白细胞总数、β-绒毛膜促性腺激素(β-HCG)转阴情况、卵巢功能及切口瘢痕愈合情况。结果观察组的手术时间长于对照组,术后住院时间、排气时间短于对照组(P<0.01);两组的术中出血量比较,差异无统计学意义(P>0.05)。术后1、3 d,观察组的视觉模拟评分法(VAS)评分低于对照组(P<0.01)。术后,两组的Hb水平低于术前,白细胞总数高于术前(P<0.05)。术后7、14、21 d,两组的β-HCG转阴情况比较,差异无统计学意义(P>0.05)。术前、术后,两组的抗苗勒管激素(AMH)水平比较,差异无统计学意义(P>0.05)。观察组的瘢痕颜色、瘢痕高低不平度、瘢痕硬度、疼痛及紧缩感评分低于对照组(P<0.01)。结论相较于多孔腹腔镜手术,单孔腹腔镜手术可缩短输卵管异位妊娠患者的住院时间及排气时间,减轻术后疼痛,切口瘢痕愈合情况较好,且安全性较佳,值得临床应用及推广。Objective To explore the clinical effect of single port laparoscopic surgery in the treatment of tubal ectopic pregnancy.Methods A total of 87 patients with tubal ectopic pregnancy admitted in our hospital from July 2019 to June 2022 were selected as the research objects and divided into control group(47 cases)and observation group(40 cases)according to the operation method.The control group received porous laparoscopic surgery,and the observation group received single port laparoscopic surgery.The perioperative indicators,complications,pain degree,hemoglobin(Hb),white blood cell count,β-human chorionic gonadotropin(β-HCG)negative conversion,ovarian function and incision scar healing were compared between the two groups.Results The operation time of the observation group was longer than that of the control group,and the postoperative hospitalization time and exhaust time were shorter than those of the control group(P<0.01);there was no significant difference in intraoperative blood loss between the two groups(P>0.05).At 1 and 3 d after operation,the Visual Analogue Score(VAS)score of the observation group was lower than that of the control group(P<0.01).After operation,the Hb level of the two groups was lower than that before operation,and the total number of white blood cells was higher than that before operation(P<0.05).At 7,14 and 21 d after operation,there was no significant difference in the negative conversion ofβ-HCG between the two groups(P>0.05).Before and after operation,there was no significant difference in the level of anti-Müllerian hormone(AMH)between the two groups(P>0.05).The scores of scar color,scar unevenness,scar hardness,pain and tightness in the observation group were lower than those in the control group(P<0.01).Conclusion Compared with porous laparoscopic surgery,single port laparoscopic surgery can shorten the hospitalization time and exhaust time of patients with tubal ectopic pregnancy,reduce postoperative pain,and has better incision scar healing and safety,which is worthy of clin

关 键 词：单孔腹腔镜手术 输卵管异位妊娠 瘢痕 

分 类 号：R713.8[医药卫生—妇产科学]