中国现代医生2024，Vol.62Issue(13)：21-24,4.DOI:10.3969/j.issn.1673-9701.2024.13.006
三种腹腔镜手术在异位妊娠治疗的临床对比研究
A comparative study of three kinds of laparoscopic surgery in treatment of ectopic pregnancy
摘要
Abstract
Objective To compare the efficacy and difference of transvaginal natural orifice transluminal endoscopic surgery(v-NOTES),transumbilical laparoendoscopic single site surgery(TU-LESS)and traditional laparoscopic surgery in the treatment of ectopic pregnancy.Methods A total of 121 patients with ectopic pregnancy admitted to Yangzhou Maternal and Child Care Service Centre,Affiliated to Yangzhou University Medical School from June 2019 to June 2022 were retrospectively selected.According to different surgical methods,the included patients were divided into traditional laparoscopic group(49 cases),TU-LESS group(43 cases)and v-NOTES group(29 cases).Age,body mass index(BMI),hemoglobin(Hb),operation time,intraoperative bleeding,postoperative exhaust time,and 24h postoperative visual analogue scale(VAS)score,postoperative hospital stay and satisfaction of patients in each group were observed.Results The exhaust time and postoperative hospital stay in v-NOTES group were significantly shorter than those in traditional laparoscopic group and TU-LESS group,and 24h postoperative VAS score was significantly lower than that in traditional laparoscopic group and TU-LESS group(P<0.05).There was significant difference in postoperative satisfaction among three groups(H=57.364,P<0.001),and v-NOTES group>TU-LESS group>traditional laparoscopic group.Conclusion Compared with TU-LESS and traditional laparoscopic surgery,v-NOTES treatment of ectopic pregnancy recovery faster,less pain,more beautiful appearance,but need to be mastered by the operator.关键词
经阴道自然腔道内镜手术/经脐单孔腹腔镜手术/传统腹腔镜手术/异位妊娠Key words
Transvaginal natural orifice transluminal endoscopic surgery/Transumbilical laparoendoscopic single site surgery/Traditional laparoscopic surgery/Ectopic pregnancy分类
医药卫生引用本文复制引用
赵玲,王亦雄,张磊,尚教伟,林莎莎..三种腹腔镜手术在异位妊娠治疗的临床对比研究[J].中国现代医生,2024,62(13):21-24,4.基金项目
扬州市科技计划项目(YZ2020115) （YZ2020115）
