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目的分析输卵管妊娠行经脐单孔腹腔镜输卵管手术的安全性及可行性。方法对120例输卵管妊娠患者的临床资料进行回顾性分析,按照治疗方法的不同将患者分为观察组和对照组各60例,观察组患者采用经脐单孔腹腔镜输卵管手术进行治疗,对照组患者采用常规腹腔镜输卵管切除术治疗。比较2组患者手术时间、术中出血量、术后疼痛评分及住院时间。结果观察组手术时间短于对照组,术后疼痛评分低于对照组,差异均有统计学意义(P<0.05);2组术中出血量、住院时间比较差异无统计学意义(P>0.05)。结论输卵管妊娠行经脐单孔腹腔镜输卵管手术是一种安全、可行的妇科手术方式,疼痛少、恢复快,而且术后美容效果好,值得在临床上推广应用。
Objective To analyze the safety and feasibility of single-hole laparoscopic tubal surgery for tubal pregnancy. Methods The clinical data of 120 patients with tubal pregnancy were retrospectively analyzed. According to the different treatment methods, the patients were divided into observation group and control group, 60 cases in each group. The observation group was treated by single hole laparoscopic tubal surgery. The control group Patients underwent routine laparoscopic salpingo-oophorectomy. The operation time, intraoperative blood loss, postoperative pain score and hospital stay were compared between the two groups. Results The operation time in the observation group was shorter than that in the control group, and the postoperative pain score was lower than that in the control group (P <0.05). There was no significant difference in the amount of bleeding and length of hospital stay between the two groups (P> 0.05 ). Conclusions Tubal pregnancy through the umbilical single hole laparoscopic tubal surgery is a safe and feasible method of gynecological surgery, less pain, faster recovery, and good cosmetic effect after surgery, it is worth popularizing the clinical application.