改良经脐单孔腹腔镜技术在输卵管异位妊娠治疗中的应用研究

Application of Modified Transumbilical Single Port Laparoscopic Technique in the Treatment of Tubal Ectopic Pregnancy

目的:研究改良经脐单孔腹腔镜技术在输卵管异位妊娠治疗中的应用效果。方法:选取我院2018年1月至2019年12月收治的120例输卵管异位妊娠患者为研究对象,按照随机数余数分组法分为常规腹腔镜组(40例)、经脐单孔腹腔镜组(40例)、改良经脐单孔腹腔镜组(40例),常规腹腔镜组采取常规三孔腹腔镜手术治疗,经脐单孔腹腔镜组采取经脐单孔腹腔镜手术治疗,改良经脐单孔腹腔镜组采取改良经脐单孔腹腔镜技术治疗,对三组围手术期指标(手术时间、术中出血量、术后血HCG恢复正常时间、住院时间)、胃肠功能恢复指标(排气时间、排便时间)、实验室指标(白细胞计数、C反应蛋白、D二聚体)、切口美观满意度、并发症发生率进行比较。结果:三组围手术期指标、胃肠功能恢复指标、实验室指标相比较,经脐单孔腹腔镜组与改良经脐单孔腹腔镜组数值相当,差异无统计学意义(P>0.05),但与常规腹腔镜组相比较,差异有统计学意义(P<0.05);三组切口美观满意度、并发症发生率相比较,差异有统计学意义(P<0.05)。结论:在输卵管异位妊娠治疗中改良经脐单孔腹腔镜技术应用效果更佳,并发症发生率更低,值得在今后工作中推广使用。

Objective:To study the effect of modified transumbilical single port laparoscopic technique in the treatment of tubal ectopic pregnancy.Methods:A total of 120 patients with tubal ectopic pregnancy admitted to our hospital from January 2018 to December 2019 were selected as the research objects.According to the random number remainder grouping method,they were divided into the conventional laparoscopy group(40 cases),the transumbilical single port laparoscopy group(40 cases),and the modified transumbilical single port laparoscopic group(40 cases).Three groups were respectively treated with conventional three-port laparoscopic surgery,transumbilical single port laparoscopic surgery,and modified transumbilical single port laparoscopic technology,and the perioperative indicators(operating length,intraoperative blood loss,postoperative blood HCG return to normal time,hospitalization time),gastrointestinal function recovery indicators(exhaust time,defecation time),laboratory indicators(white blood cell count,C-reactive protein,D-dimer),incision aesthetic satisfaction,and complication rate were compared in the three groups.Results:Under comparison,the values of the transumbilical single port laparoscopic group and the modified transumbilical single port laparoscopic group were similar,and the difference was not statistically significant(P>0.05).However,compared with the conventional laparoscopic group,the difference was statistically significant(P<0.05).The three groups of incision aesthetic satisfaction and complication rate were compared,and the difference was statistically significant(P<0.05).Conclusion:The improved transumbilical single port laparoscopic technique in the treatment of tubal ectopic pregnancy has a better application effect and a lower incidence of complications.It is worthy of promotion and application in future work.