CAJ | 학술논문

目的探讨经脐单孔腹腔镜下输卵管切除术对输卵管异位妊娠的疗效.方法将296例输卵管妊娠患者分为单孔组与常规组,对两组术中、后情况、切口美容效果及患者满意情况进行比较,并行统计学分析.结果 (1)单孔组患者肛门排气时间(32.6± 11.6)h与常规组(34.1±10.2)h(P =0.883)；术中出血量(48.7±15.2)ml与常规组(41.5 10.9) ml(P =0.313)均差异无统计学意义；单孔组手术时间(62.6±21.6)min长于常规组(42.7±17.6) min(P =0.000),下床活动时间及需求镇痛例数明显少于常规组(P=0.003；P =0.001).(2)单孔组美容效果判定良好率96.8％,患者表示不满率1.2％；常规组美容效果判定良好率86.4％；患者表示不满率9.3％；两组美容效果判定良好率差异有统计学意义(P=0.004),且单孔组患者表示不满率低于常规组.结论输卵管妊娠患者行经脐单孔腹腔镜下输卵管切除术是一种更微创的安全可行并具更佳美容效果的一种妇科术式；尽管有一定的难度.
목적 탐토경제단공복강경하수란관절제술대수란관이위임신적료효.방법 장296례수란관임신환자분위단공조여상규조,대량조술중、후정황、절구미용효과급환자만의정황진행비교,병행통계학분석.결과 (1)단공조환자항문배기시간(32.6± 11.6)h여상규조(34.1±10.2)h(P =0.883)；술중출혈량(48.7±15.2)ml여상규조(41.5 10.9) ml(P =0.313)균차이무통계학의의；단공조수술시간(62.6±21.6)min장우상규조(42.7±17.6) min(P =0.000),하상활동시간급수구진통례수명현소우상규조(P=0.003；P =0.001).(2)단공조미용효과판정량호솔96.8％,환자표시불만솔1.2％；상규조미용효과판정량호솔86.4％；환자표시불만솔9.3％；량조미용효과판정량호솔차이유통계학의의(P=0.004),차단공조환자표시불만솔저우상규조.결론 수란관임신환자행경제단공복강경하수란관절제술시일충경미창적안전가행병구경가미용효과적일충부과술식；진관유일정적난도.
Objective To explore the curative effect of the umbilical single port laparoscopic salpingectomy for tubal ectopic pregnancy.Methods 296 cases with tubal pregnancy were divided into single-hole group and the conventional group.Mter the operation,incision cosmetic results and patients'satisfaction were compared and analyzed in two groups.Results (1) The anal exhaust time of single hole group and conventional group was (32.6 ± 11.6) h,(34.1 ± 10.2) h (P =0.883).The intraoperative blood loss was (48.7 ± 15.2) ml (41.5 ± 10.9) ml (P =0.313).There was no significant differences(P ＞ 0.05).Operative time of single hole group was (62.6 ± 21.6) min,which was longer than that of the conventional group (42.7 ± 17.6) min,the difference was statistically significant (P =0.000).The ambulation time and demand analgesia patients of single-hole group were significantly lower than the conventional group(P =0.003,P =0.001).(2) In single-hole group,cosmetic results determined a good rate of 96.8％ and patients expressed dissatisfaction rate of 1.2％.cosmetic results of the conventional group judged good rate of 86.4％.patients expressed dissatisfaction rate of 9.3％.The judged good rate of cosmetic results between the two groups had statistically significant difference (P =0.004),and patients expressed dissatisfaction rate of single-hole group was lower than the conventional group.Conclusion For patients with tubal pregnancy,the trekking transumbilical single hole laparoscopic salpingectomy is a more minimally invasive,feasible and safe gynecological surgical procedures and with better cosmetic results,although there is a certain degree of difficulty.