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异位妊娠经脐单孔腹腔镜下输卵管切除术32例临床体会 被引量:4

Report of 32 cases of laparo-endoscopic single-site salpingectomy in ectopic pregnancy
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摘要 目的 探讨单孔腹腔镜下输卵管切除术在异位妊娠手术治疗的价值.方法 将无锡市第三人民医院2010年1月至2011年6月32例异位妊娠患者行经脐单孔腹腔镜下输卵管切除术与32例常规腹腔镜下输卵管切除手术相比较.结果 64例手术均获成功,单孔腹腔镜组手术时间(59.22±18.32min)明显长于常规腹腔镜组(33.91±10.68min)(t=6.75,P<0.05),术中出血量(32.19±15.45mL vs 34.84±17.01mL,t=-0.65)、排气时间(31.31±9.56h vs 32.38±8.78h,t=-0.46)、住院时间(5.22±0.71d vs 5.31±0.74d,t=-0.52)均无显著差异(均P〉0.05),术后病率(3.13% vs 0%,P=1.00)术后美容效果(88% vs 19%,χ2=30.37)及患者满意情况(94% vs 53%,χ2=13.54)单孔组更优(均P〈0.05).结论 异位妊娠患者行经脐单孔腹腔镜下输卵管切除术是一种安全可行,更微创和具美容效果的手术,因手术难度较大,故手术时间长于常规组. Objective To investigate the value of laparo-endoscopic single-site salpingectomy (LESS) in treatment of ectopic pregnancy. Methods Clinical data of 32 cases of ectopic pregnancy who underwent LESS and 32 cases who underwent conventional laparo-endoscopic salpingectomy (CLES) in Wuxi Third People' s Hospital from January 2010 to June 2011 was compared. Results All of the procedures were performed successfully in 64 cases. The operating time of LESS group (59.22 ± 18.32min) was longer than that of CLES group (33.91 s 10.68min), and the difference was statistically significant (t = 6.75, P 〈 0.05). But there was no significant difference in intraoperative blood loss (32.19 s 15.45mL vs 34.84± 17.01mL, t = -0.65), recovery time of gastrointestinal function (31.31 s9.56h vs 32.38 s 8.78h, t = -0.46), length of stay (5.22 ±0. 71d vs 5.31 ±0.74d, t = -0.52) and postoperative morbidity (3.13% vs 0% ,P = 1.00) between two groups ( all P 〉 0.05). However, the cosmetic outcomes (88% vs 19%, X2 = 30.37) were better and the satisfaction (94% vs 53%, X2 = 13.54) was higher in LESS group than those in CLES group, and the differences were statistically significant (P 〈 0.05). Conclusion With better cosmetic outcomes, LESS is safe, feasible and less invasive compared with CLES., Because LESS is difficuh in procedure, its operative time is longer than CLES.
作者 华玉蓉
出处 《中国妇幼健康研究》 2011年第6期827-828,858,共3页 Chinese Journal of Woman and Child Health Research
关键词 经脐入路 单孔 腔道内镜手术 异位妊娠 输卵管切除术 transumbilical approach single-site natural orifice transluminal endoscopic surgery (NOTES) ectopic pregnancy salpingectomy
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