|
|
|
| Application of Modified Transumbilical Single Port Laparoscopic Technique in the Treatment of Tubal Ectopic Pregnancy |
| CHEN Xiaoen, SUN Yan, HONG Hui, et al |
| Xuancheng Central Hospital, Anhui Xuancheng 242000, China |
|
|
|
|
Abstract Objective: To study the effect of modified transumbilical single port laparoscopic technique in the treatment of tubal ectopic pregnancy. Methods: A total of 120 patients with tubal ectopic pregnancy admitted to our hospital from January 2018 to December 2019 were selected as the research objects. According to the random number remainder grouping method,they were divided into the conventional laparoscopy group (40 cases),the transumbilical single port laparoscopy group (40 cases),and the modified transumbilical single port laparoscopic group (40 cases). Three groups were respectively treated with conventional three-port laparoscopic surgery,transumbilical single port laparoscopic surgery,and modified transumbilical single port laparoscopic technology,and the perioperative indicators (operating length,intraoperative blood loss,postoperative blood HCG return to normal time,hospitalization time),gastrointestinal function recovery indicators (exhaust time,defecation time),laboratory indicators (white blood cell count,C-reactive protein,D-dimer),incision aesthetic satisfaction,and complication rate were compared in the three groups. Results: Under comparison,the values of the transumbilical single port laparoscopic group and the modified transumbilical single port laparoscopic group were similar,and the difference was not statistically significant (P>0.05). However,compared with the conventional laparoscopic group,the difference was statistically significant (P<0.05). The three groups of incision aesthetic satisfaction and complication rate were compared,and the difference was statistically significant (P<0.05). Conclusion: The improved transumbilical single port laparoscopic technique in the treatment of tubal ectopic pregnancy has a better application effect and a lower incidence of complications. It is worthy of promotion and application in future work.
|
|
|
|
|
|
[1] 孙大为,张颖.单孔腹腔镜手术在异位妊娠诊治中的应用[J].中国实用妇科与产科杂志,2017,33(9):903~906.
[2] 花茂方,顾品浪,李慧,等.经脐单孔腹腔镜在异位妊娠、附件囊肿手术中的应用评估[J].徐州医学院学报,2017,37(4):266~268.
[3] Borges-Dias M,Carmo L,Lamas-Pinheiro R,et al.Trans-umbilical laparoscopic-assisted appendectomy in the pediatric population:comparing single-incision and 2-trocar techniques[J]. Minim Invasive Ther Allied Technol,2018,27(3):160~163.
[4] 桑昌美,邹存华,赵淑萍.经脐单孔腹腔镜在输卵管妊娠手术中的安全性及学习曲线[J].中华腔镜外科杂志(电子版),2018,11(6):344~346.
[5] 张艳萍. 单孔腹腔镜对比传统腹腔镜手术治疗输卵管妊娠的临床效果分析[J].现代诊断与治疗,2018,29(19):3149~3150.
[6] 董春林,张冰,余进进.改良经脐单孔腹腔镜全子宫切除术的临床应用[J].江苏医药,2018,44(1):89~90.
[7] 陈晶晶. 腹腔镜微创手术治疗输卵管异位妊娠效果[J].中国计划生育学杂志,2019,27(12):1713~1714.
[8] Asimakidou M,De Win G,Cherian A.Laparoscopy-assisted ureterostomy- technique[J].Pediatr Urol,2019,15(4):423~424.
[9] 平花,苏敏君.单孔腹腔镜对输卵管妊娠患者的疗效及相关指标的影响[J].中国内镜杂志,2019,25(7):1~6.
[10] 陈春,徐妃,曾月娜,等.改良经脐单孔腹腔镜与传统腹腔镜手术治疗输卵管妊娠的疗效对比[J].中国现代药物应用,2019,13(13):54~55.
[11] Heye P,Su YS,Flanders TM,et al.Laparoscopy assisted ventriculoperitoneal shunt placement in children[J].Pediatr Surg,2020,55(2):296~299. |
|
|
|
2021, Vol. 27 
