经脐单孔腹腔镜与传统腹腔镜手术治疗输卵管妊娠的对比研究

发布时间：2018-06-14 17:14

本文选题：腹腔镜手术 + 异位妊娠　；参考：《中国微创外科杂志》2015年07期

【摘要】：目的比较经脐单孔腹腔镜与传统三孔腹腔镜异位妊娠手术的临床效果。方法选择2012年1月~2013年12月在我院接受异位妊娠手术120例,患者根据自身经济情况选择手术方式,其中单孔腹腔镜组66例,传统三孔腹腔镜组54例,比较2组患者手术时间、术中出血量、肠道功能恢复时间、术后疼痛视觉模拟评分、术后住院时间、手术费用、术后切口愈合情况、术后患者满意度等。结果单孔腹腔镜组手术时间(30.6±6.3)min,明显长于传统三孔腹腔镜组(20.1±6.9)min(t=8.701,P=0.000)。单孔腹腔镜组和传统三孔腹腔镜组术中出血量、肠道功能恢复时间、术后住院时间、术后拔除尿管时间、手术费用和术后患者满意度差异均无统计学意义(P0.05)。单孔腹腔镜组术后第1、3天疼痛视觉模拟评分分别为(3.2±0.8)、(1.5±0.7)分,显著低于传统三孔腹腔镜组(3.9±0.8)、(2.3±0.6)分(t=-4.769,P=0.000;t=-6.636,P=0.000)。结论单孔腹腔镜手术治疗异位妊娠是安全可行的,且能减轻患者的术后疼痛,并能达到更好的美容效果。
[Abstract]:Objective to compare the clinical effect of transumbilical single-hole laparoscopy and traditional three-hole laparoscopic ectopic pregnancy. Methods 120 cases of ectopic pregnancy were selected from January 2012 to December 2013 in our hospital. According to their own economic situation, the patients were divided into single hole laparoscopic group (66 cases) and traditional three-hole laparoscopic group (54 cases). The operation time of the two groups was compared. Intraoperative bleeding volume, recovery time of intestinal function, postoperative pain visual analogue score, postoperative hospitalization time, operation cost, postoperative wound healing, postoperative patient satisfaction, and so on. Results the operative time of single hole laparoscopic group was 30.6 卤6.3 min, which was significantly longer than that of traditional three-hole laparoscopy group (20.1 卤6.9 min). There was no significant difference in blood loss, recovery time of intestinal function, postoperative hospitalization time, postoperative extubation time, operation cost and patient satisfaction in single hole laparoscopic group and traditional three hole laparoscopic group (P 0.05). The visual analogue scores of pain in the single hole laparoscopic group on the 1st day after operation were 3.2 卤0.8 and 1.5 卤0.7, respectively, which were significantly lower than those in the traditional three-hole laparoscopic group (3.9 卤0.8 and 2.3 卤0.6). Conclusion single-hole laparoscopic surgery for ectopic pregnancy is safe and feasible, and can relieve postoperative pain and achieve better cosmetic effect.
【作者单位】：西北妇女儿童医院;陕西省妇幼保健院妇科;
【基金】：陕西省卫计委扶持项目(项目编号:2014D88)
【分类号】：R714.221

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