剖宫产术后行改良免气腹悬吊式单操作孔腹腔镜结扎术478例临床观察

Clinical observation on the clinical effect of improved gasless single-port laparoscopic tubal ligation surgery after cesarean delivery in 478 cases

目的探讨剖宫产术后行改良免气腹悬吊式单操作孔腹腔镜结扎术的临床疗效。方法回顾分析2010年12月～2014年12月478例剖宫产术后行改良免气腹悬吊式单操作孔腹腔镜结扎术病例。分析比较术前、术中、术后血气分析、血压、心率变化，术中出血量、手术时间，术中、术后疼痛感，术中合并症，手术并发症，手术成功率，术后妊娠率，术后并发症等相关指标。结果该手术方式对患者术中血气分析及血压心率无影响（P〉0.05），手术时间短，术中出血少，术中疼痛感轻，手术成功率高，术后妊娠率低，术中术后并发症发生率少，并可及时发现治疗手术合并症。结论改良免气腹悬吊式单操作孔腹腔镜结扎术具有安全有效、创伤小、痛苦轻，对于有剖宫产手术者尤为适宜。

Objective To explore the curative effect of improved gasless single-port laparoscopic tubal ligation surgery after cesarean delivery. Methods The clinical data of 478 patients treated by improved gasless single-port laparoscopic tubal ligation surgery after cesarean delivery from December 2010 to December 2014 were analyzed retrospectively; the changes of preoperative, intraoperative, and postoperative blood gas analysis, blood pressures, and heart rates, the amount of blood loss daring operation, operation time, intraoperative and postoperative pain, intraoperative complications, surgical complications, the successful rate of operation, postoperative pregnancy rate, and postoperative complications were analyzed and compared. Results This surgical method had no impact on blood gas analysis, blood pressure, and heart rate of patients （ P〉0.05 ） . The operation time was short with less intraoperative bleeding, the pain during operation was light, the successful rate was high, the postoperative pregnancy rate was low, the intraoperative and postoperative complications were few, the surgical complications were detected and cured timely. Conclusion Improved gasless single-port laparoscopic tubal ligation surgery has the advantages of saiety, effectiveness, less injury, and light pain, which is more suitable for the patients after cesarean delivery.