首页|经脐单孔腹腔镜输卵管切除术治疗输卵管妊娠患者的效果

经脐单孔腹腔镜输卵管切除术治疗输卵管妊娠患者的效果

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目的:观察经脐单孔腹腔镜输卵管切除术治疗输卵管妊娠患者的效果.方法:回顾性分析 2022 年 1 月至 2023 年 5 月该院收治的110例输卵管妊娠患者的临床资料,根据治疗方法不同将其分为对照组和观察组各55例.对照组给予多孔腹腔镜输卵管切除术治疗,观察组给予经脐单孔腹腔镜输卵管切除术治疗.比较两组围术期指标水平、术后疼痛程度[视觉模拟评分法(VAS)]评分、切口满意度[体象量表(BIS)、切口美观满意度量表(CS)]评分和并发症发生率.结果:观察组手术时间长于对照组,术中出血量多于对照组,术后首次排气时间和住院时间均短于对照组,差异有统计学意义(P<0.05);术后 1、2、3 d,观察组VAS评分均低于对照组,差异有统计学意义(P<0.05);观察组BIS评分低于对照组,CS评分高于对照组,差异有统计学意义(P<0.05);观察组并发症发生率低于对照组,差异有统计学意义(P<0.05).结论:经脐单孔腹腔镜输卵管切除术治疗输卵管妊娠患者可缩短术后首次排气时间和住院时间,提高切口满意度,降低术后疼痛程度评分和并发症发生率的效果优于多孔腹腔镜输卵管切除术治疗,但手术时间和术中出血量长于和多于多孔腹腔镜输卵管切除术治疗.
Effects of transumbilical single-port laparoscopic salpingectomy in treatment of patients with tubal pregnancy
Objective:To observe effects of transumbilical single-port laparoscopic salpingectomy in treatment of patients with tubal pregnancy.Methods:The clinical data of 110 patients with tubal pregnancy admitted to this hospital from January 2022 to May 2023 were retrospectively analyzed.According to different treatment methods,they were divided into control group and observation group,55 cases in each group.The observation group was treated with transumbilical single-port laparoscopic salpingectomy,while the control group was treated with multi-port laparoscopic salpingectomy.The perioperative index levels,the postoperative pain degree[visual analogue scale(VAS)]score,the incision satisfaction[Body Image Scale(BIS),Incision aesthetic satisfaction scale(CS)]score,and the incidence of complications were compared between the two groups.Results:The operation time of the observation group was longer than that of the control group;intraoperative blood loss was greater than the control group;the first postoperative exhaust time and the hospitalization time were shorter than those in the control group;and the differences were statistically significant(P<0.05).1,2 and 3 days after the surgery,the VAS scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).The BIS score of the observation group was lower than that of the control group,the CS score was higher than that of the control group,and the differences were statistically significant(P<0.05).Further,the incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusions:Transumbilical single-port laparoscopic salpingectomy for the patients with tubal pregnancy can shorten the first exhaust time and the hospitalization time,improve the incision satisfaction,and reduce the postoperative pain scores and the incidence of complications.It is superior to multi-port laparoscopic salpingectomy,but the operation time and the intraoperative blood loss are longer and greater than those of the latter.

Transumbilical single-port laparoscopic salpingectomyTubal pregnancyIncisionSatisfactionPainComplication

张振威

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晋江市医院(上海市第六人民医院福建医院)妇科,福建 晋江 362200

经脐单孔腹腔镜输卵管切除术 输卵管妊娠 切口 满意度 疼痛 并发症

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(6)
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