经脐单孔腹腔镜治疗输卵管妊娠的临床效果及安全性分析

The Clinical Efficacy and Safety of Trans Umbilical Single-port Laparoscopy in the Treatment of Tubal Pregnancy

目的对经脐单孔腹腔镜治疗输卵管妊娠的临床效果以及安全性进行分析探讨。方法选取我院2016年10月至2018年10月输卵管妊娠需行手术治疗的患者118例,结合患者主观意愿及手术客观条件将患者分为观察组与对照组,观察组给予经脐单孔腹腔镜治疗,对照组采用传统三孔腹腔镜手术治疗,比较两组患者的手术时间、手术费用、手术并发症、术中出血量、术后排气排便时间、术后住院时间、患者满意度、术后切口愈合情况。结果经脐单孔腹腔镜手术患者的手术时间(35.7±0.9)较传统三孔腹腔镜手术时间(32.3±1.9)长,且观察组的手术费用较高,P<0.05,差异具有统计学意义。但是两组患者的术中出血量、术后排气时间及术后住院时间无明显差异。此外,观察组患者对手术的满意度及术后1月切口愈合情况较对照组好。结论经脐单孔腹腔镜不会导致患者手术并发症、术中出血量增加,用于治疗输卵管妊娠安全可行。经脐单孔腹腔镜治疗输卵管妊娠的术后美容效果良好,可在临床进一步推广应用。

Objective To analyze the clinical effi cacy and safety of trans umbilical single-port laparoscopy in the treatment of tubal pregnancy.Methods A total of 118 patients with surgical treatment of tubal pregnancy from October 2016 to October 2018 were enrolled.The patients were divided into observation group and the control group according to their subjective will and Objective conditions.The observation group was given a single umbilical hole.Laparoscopic treatment,the control group was treated with traditional three-hole laparoscopy surgery.The operation time,operation cost,surgical complications,interpretative blood loss,postoperative exhaustion time,postoperative hospital stay,patient satisfaction were compared between the two groups.the healing of the incision after surgery.Results The operation time of umbilical single-hole laparoscopy surgery(35.7±0.9)was longer than that of traditional three-hole laparoscopy surgery(32.3±1.9),and the operational cost of the observation group was higher,P<0.05.The difference was statistically signifi cant.However,there was no signifi cant difference in interpretative blood loss,postoperative exhaust time,and postoperative hospital stay between the two groups.In addition,the satisfaction of the patients in the observation group and the healing of the incision in the fi rst month after surgery were better than those in the control group.Conclusion Transumbilical single-port laparoscopy does not lead to surgical complications and increased interpretative blood loss.It is safe and feasible for the treatment of tubal pregnancy.The postoperative cosmetic effect of laparoscopy single-port laparoscopy treatment of tubal pregnancy is good and can be further promoted and applied in clinical practice.