| 徐瑞,毛轶凡,张莉亚,等.单孔腹腔镜输卵管切除术 40例[J].安徽医药,2024,28(9):1847-1850. |
| 单孔腹腔镜输卵管切除术 40例 |
| Forty patients who underwent single-port laparoscopic salpingectomy |
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| DOI：10.3969/j.issn.1009-6469.2024.09.033 |
| 中文关键词: 输卵管切除术 妊娠，输卵管 最小侵入性外科手术 单孔腹腔镜手术 |
| 英文关键词: Salpingectomy Pregnancy, tubal Minimally invasive surgical procedure Single-port laparoscopic surgery |
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| 中文摘要: |
| 目的探讨单孔腹腔镜在输卵管妊娠手术中行患侧输卵管切除术的临床应用可行性及效果优缺点。方法选取芜湖市第二人民医院妇产科 2017年 11月至 2019年 12月收治并因输卵管妊娠实施行输卵管切除手术的病人共 204例。单孔组， 40例病人行单孔腹腔镜下患侧输卵管切除术；多孔组， 164例病人行常规多孔腹腔镜下患侧输卵管切除术。比较两组病人手术时间、术中出血量、住院天数、术后住院天数、手术费用、术后排气时间、术后镇痛药使用率、术后并发症情况及切口满意度评分。结果所有病人均顺利完成手术，未出现病人中转开腹或中转行多孔腹腔镜手术。两组病人术中出血量、住院时间、术后住院时间、住院费用及术后并发症发生率比较，均差异无统计学意义( P>0.05)。单孔组病人术后排气时间为(17.35±6.15)h，多孔组病人术后排气时间( 21.45±7.50)h，两组差异有统计学意义( P<0.05)；单孔组病人术后镇痛药使用率为 2.50%，多孔组病人术后镇痛药使用率为 14.02%，单孔组病人术后镇痛药使用率低于多孔组( P<0.05)；单孔组术后腹壁切口满意度评分( 4.45±0.68)分，明显高于多孔组术后腹壁切口满意度评分( 3.65±0.77)分( P<0.05)。结论单孔腹腔镜手术具有创伤小、恢复快、切口美观的特点，在输卵管切除术中具有可行性，值得临床推广。 |
| 英文摘要: |
| Objective To explore the clinical feasibility and effect advantages and disadvantages of single-port laparoscopic tubecto- my on the affected side in tubal pregnancy surgery.Methods A total of 204 patients who were admitted to the Department of Obstet-rics and Gynecology of the Second People's Hospital of Wuhu from November 2017 to December 2019 and who underwent salpingecto-my surgery for tubal pregnancy were selected. The single-port group consisted of 40 patients who underwent single-port laparoscopic salpingo-oophorectomy of the affected side, and the multiport group consisted of 164 patients who underwent conventional multiport lap-aroscopic salpingo-oophorectomy of the affected side. The operation time, intraoperative bleeding, hospitalization days, postoperativehospitalization days, operation cost, postoperative venting time, postoperative analgesic use rate, postoperative complications and inci-sion satisfaction score were compared between the two groups.Results All patients were successfully underwent the surgery, and nopatients were transferred to the open abdomen or to multiport laparoscopic surgery. There were no significant differences in intraopera-tive bleeding, hospitalization days, postoperative hospitalization days, operation cost or postoperative complications between the twogroups (P>0.05). The postoperative ventilation time was (17.35±6.15) h in the single-site group and (21.45±7.50) h in the multiport group, and the difference between the two groups was statistically significant (P<0.05). The postoperative analgesic use rate of patients in the single-port group was 2.50%, and the postoperative analgesic use rate of patients in the multiport group was 14.02%, and thepostoperative analgesic use rate of patients in the single-port group was lower than that of patients in the multiport group (P < 0.05). The postoperative abdominal incision satisfaction score in the single-port group (4.45±0.68) points was significantly greater than thepostoperative abdominal incision satisfaction score in the multiport group (3.65±0.77) points, and the difference was statistically signifi-cant (P<0.05).Conclusion Single-port laparoscopic surgery is characterized by minimal trauma, rapid recovery, and a beautiful inci-sion, which is feasible in tubectomy and worthy of clinical promotion. |
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