单孔腹腔镜对输卵管妊娠患者的疗效及相关指标的影响*

Analysis of the impact on clinical efficacy, serum pain indexes and ovarian function of SPLS and MPLS in treatment of tubal pregnancy patients*

摘要:

探讨单孔腹腔镜对输卵管妊娠患者的疗效及相关指标的影响。方法?选取该科收治的64例输卵管异位妊娠患者，根据不同的手术治疗方式分为两组（各32例），其中研究组采用经脐单孔腹腔镜输卵管切除术治疗，对照组采用传统多孔腹腔镜输卵管切除术治疗，比较两组患者的临床疗效等差异。结果?研究组患者的手术时间较对照组长（P <0.05），术后并发症如切口感染及出血等发生率明显低于对照组（P <0.05）；研究组患者的疼痛相关血清指标均较对照组改善明显（P <0.05）；术前两组患者的相关激素指标比较，差异均无统计学意义（P >0.05），术后两组患者的相关激素指标水平较术前均有所升高（P <0.05）；术前两组患者的卵巢状态相关指标均无差异（P >0.05），术后两组患者的卵巢状态相关指标水平较术前均有所下降（P <0.05）；两组患者术后排卵率及妊娠率差异均无统计学意义（P >0.05）。结论?相对于传统多孔腹腔镜输卵管切除术，经脐单孔腹腔镜输卵管切除术可有效降低患者术后感染和并发症发生率，减轻患者疼痛，用于治疗输卵管妊娠是安全可行的。

Abstract:

To explore the impact of single-port laparoscopy on the curative effect and related indicators of tubal pregnancy. Methods 64 cases of tubal pregnancy patients was screening as research subjects, they were divided into study group and control group with 32 cases in each. The patients in control group were given MPLS while the patients in study group were given SPLS, then the clinical efficacy and related indicators between the two groups were compared in terms. Results The operation time of the study group was longer than that of the control group (P < 0.05). The incidence of postoperative complications such as wound infection and hemorrhage was significantly lower than that of the control group (P < 0.05). The pain-related serum indexes of the study group were compared with the control group. The improvement of the study group was significant (P < 0.05). There was no difference in the related hormones between the two groups (P > 0.05). The levels of related hormones in the two groups were higher than those before the operation (P < 0.05). There was no difference in ovarian status related indexes between the two groups before operation (P > 0.05). The ovarian status related indexes of the two groups were lower than those before operation (P < 0.05). There was no significant difference in the rate of ovulation and pregnancy rate (P > 0.05). Conclusion Compared with traditional multi-port laparoscopic salpingectomy, transumbilical single-port laparoscopic salpingectomy can effectively reduce the incidence of postoperative infection, complications and the pain of patients. It is safe and feasible for the treatment of tubal pregnancy.