异位妊娠经单孔腹腔镜与多孔腹腔镜手术治疗的效果比较

Effect comparison of ectopic pregnancy treated by single port laparoscopic surgery and porous laparoscopic surgery

目的比较异位妊娠经单孔腹腔镜与多孔腹腔镜手术治疗的效果。方法选择2017年3月~2018年3月沈阳市妇婴医院收治的60例异位妊娠患者为研究对象,采用随机数字表法分为观察组和对照组,每组各30例。观察组实施经脐单孔腹腔镜手术,对照组实施多孔腹腔镜手术。比较两组手术一般情况、术后疼痛、美容满意度及术后并发症发生情况。结果观察组手术时间长于对照组,术后排气时间和住院时间短于对照组,差异有统计学意义(P<0.05);两组术中出血量和总费用比较,差异无统计学意义(P>0.05);观察组视觉模拟量表(VAS)评分低于对照组,美容满意度评分高于对照组,差异有统计学意义(P<0.05);两组并发症总发生率比较,差异无统计学意义(P>0.05)。结论单孔腹腔镜手术减轻了患者疼痛,术中出血量少,术后恢复快,兼顾了微创与美容的优点,具有广阔的临床应用前景。

Objective To compare the effects of single port laparoscopic surgery and porous laparoscopic surgery for ectopic pregnancy.Methods A total of 60 ectopic pregnancy patients to Shenyang Women′s and Children′s Hospital from March 2017 to March 2018 were selected as the research objects,and divided into the observation group and the control group using random number table method,with 30 cases in each group.The observation group was treated with single port laparoscopic surgery and the control was treated with porous laparoscopic surgery.The general condition,postoperative pain,aesthetic satisfaction and complications of the two groups were compared.Results The surgery time of the observation group was longer than that of the control group,and the postoperative exhaust time and hospitalization time were shorter than those of the control group,the difference had statistically significant differences(P<0.05);there were no statistically significant intraoperative blood loss and total cost between the two groups(P>0.05);visual analogue scale(VAS)score of the observation group was lower than that of the control group,and aesthetic satisfaction score was higher than that of the control group,the differences were statistically significant(P<0.05);there was no statistically significant difference in the total incidence of complications between the two groups(P>0.05).Conclusion Single port laparoscopic surgery can reduce pain and the amount of blood loss during the operation.Patients can recover quickly after the operation,taking into account the advantages of minimally invasive and cosmetic surgery,which has a broad clinical application prospect.