无入路平台单切口腹腔镜与多孔腹腔镜治疗输卵管妊娠的效果比较

Comparison of clinical effects of single-incision laparoscopic surgery and multipleincision laparoscopic surgery in treatment of tubal pregnancy

目的探讨不使用入路平台经脐单切口腹腔镜手术治疗输卵管妊娠的可行性。方法 2016年3月-2017年3月60例异位妊娠接受腹腔镜输卵管切除术患者,其中30例接受经脐单切口腹腔镜输卵管切除术,不使用单孔入路平台为SISL组,30例接受传统腹腔镜输卵管切除术为MPLS组,比较两组患者手术时间、术中出血量、术中术后并发症、住院时间等。结果两组患者手术均顺利完成,无须中转开腹。SISL组与MPLS组手术时间分别为(53.5±8.8)、(49.3±10.4)min,差异无统计学意义(P>0.05);两组术中出血量分别为(10.6±10.5)、(16.4±8.2)ml,差异无统计学意义(P>0.05);两组术后血红蛋白降低分别为(13±4)、(12±3)g/L,差异无统计学意义(P>0.05);两组术后住院时间分别为(4.0±0.9)、(3.9±0.8)d,差异无统计学意义(P>0.05);两组术后发热分别为2例和3例,差异无统计学意义(P>0.05)。所有患者术后随访1个月,均恢复良好,无术后并发症发生。结论经脐单切口腹腔镜输卵管切除术可行。

Objective To explore the feasibility of transumbilical single-incision laparoscopic surgery in treatment ot tubal pregnancy. Methods Sixty patients diagnosed as tubal pregnancy undergoing laparoscopic surgery in this hospital from March 2016 to March 2017 were selected and divided into two groups. Thirty patients in SISL group were treated with transumbilieal single-incision laparoseopie surgery, and thirty patients in MPLS group were treated with multiple-incision laparoscopic surgery. The operation time, the amount of intraoperative blood loss, intraoperative and postoperative surgical complications, and hospitalization time were compared between the two groups. Results The surgery was completed successfully in the two groups without any subsequent lapareetomy. The operation time in SISL group and MPLS group were （53.5±8. 8） minutes and （49. 3±10. 4） minutes, respectively, there was no statistically significant difference be- tween the two groups （P〉0. 05 ） . The amounts of intraoperative blood loss in SISL group and MPLS group were （10. 6±10. 5 ） ml and （ 16. 4±8.2） ml, respectively, there was rio statistically significant difference between the two groups （P〉0.05） . The levels of hemoglobin after surgery in the two groups were （13±4） g/L and （12±3） g/L, respectively, there was no statistically significant difference between the two groups （P〉0. 05 ） . The postoperative hospitalization time in the two groups were （4. 0±0. 9） days arid （3.9±0. 8 ） days, respectively, there was no statistically significant difference between the two groups （ P〉0. 05 ） . In the two groups, there were two and three patients with fever after surgery, there was no statistically significant difference between the two groups （P〉0. 05 ） . All the patients in the two groups were followed up for one month, the recovery was good, no postoperative complications occulted. Conclusion Transumbilieal single-inci- sion laparosco!oie surgery is feasible in treatment of tubal pregnancy.