30例输卵管妊娠患者经脐单孔腹腔镜下输卵管切除术治疗的效果分析

目的探讨输卵管妊娠患者经脐单孔腹腔镜下进行输卵管切除术的疗效。方法将我院2013年5—12月收治的60例因输卵管妊娠行输卵管切除术的患者随机分为观察组和对照组，每组30例。观察组采用经脐单孔腹腔镜下输卵管切除术，对照组采用常规腹腔镜输卵管切除术。对两组患者的手术时间、手术出血量、住院时间及术后疼痛评分等指标进行比较。结果两组患者手术均取得成功，无中转开腹患者，术中未出现并发症，观察组无增加操作孔病例。观察组手术时间为（42．5±6．5）min，手术出血量为（12．5±3．8）mL，术后疼痛评分为（2．6±1．1），住院时间为（2．1±1．3）d。对照组手术时间为（18．2±6．7）min，手术出血量为（11．9±3．9）mL，术后疼痛评分为（3．1±0．9），住院时间为（2．3±1．4）d。两组患者手术时间比较差异具有统计学意义（x^2=14．258，P=0．000），手术出血量、术后疼痛评分、使用镇痛剂及住院时间比较差异无统计学意义（P〉0．05）。结论经脐单孔腹腔镜手术术后无瘢痕，腹部美容效果显著，疼痛少、恢复快，在积累丰富经验后，手术时间可缩短，值得临床推广使用。．

Clinical efficacy of transumbilical single port laparoscopic tubal excision in treatment of 30 patients with tubal pregnancy

Objective To discuss clinical efficacy of transumbilical single hole laparoscopic tubal excision in treatment of patients with tubal pregnancy. Methods 60 admitted cases with tubal pregnancy from May- Dec. 2013 were randomly divided into observer group and control group, each with 30 cases. The observer group was treated by transumbilical single port laparoscopic tubal resection, and the control group was treated by conventional laparoscopic salpingectomy. Operation time, bleeding volume, hospital stay and postoperative pain score of 2 groups were noted and compared. Results Operation were all successful, no conversion to open surgery and no complications during operation, there was no cases increased holes in observer group. The observation group whose operation time, bleedingvolume, postoperative pain score and hospital stay were （42.5 ±6.5）min,（12.5 ± 3.8）mL, （2.6 ± 1.1）,（2.1 ± 1.3）d respectively, while control group were （18.2 ± 6.7）rain, （11.9 ± 3.9）mL,（3.1 ± 0.9）, （2.3 ± 1.4）d respectively. There was statistically significant differences on operation time （xz=14.258, P=0.000）, no statistical significance on bleeding volume, postoperative pain score, and hospital stay （P 〉 0.05）. Conclusion Transumbilical single port laparoscopic operation in treatment of tubal pregnancy with no scar, less pain, rapid recovery, and with accumulating operative experience, operation time can be shortened, with clinical promotion. ]