单孔腹腔镜在输卵管妊娠患者中的应用效果及对胃肠功能的影响研究

何娟

【摘要】 目的：探究與观察单孔腹腔镜在输卵管妊娠患者中的应用效果及对胃肠功能的影响。方法：选取2018年3月-2020年3月本院80例输卵管妊娠患者，按照随机数字表法将其分为对照组和观察组，每组40例。对照组采用常规腹腔镜治疗，观察组采用单孔腹腔镜治疗。比较两组出血量，肠鸣音恢复时间，排气时间，排便时间，术后1、2、3 d的VAS评分，术前及术后1、3、5 d的应激激素与胃肠激素水平。结果：观察组出血量为（32.01±3.53）mL，少于对照组的（37.10±3.96）mL，差异有统计学意义（P<0.05）。术后1、2、3 d，观察组VAS评分均低于对照组，差异均有统计学意义（P<0.05）。观察组肠鸣音恢复时间、排气时间及排便时间均优于对照组，差异均有统计学意义（P<0.05）。术前，两组Cor、NE、GAS、MTL比较，差异均无统计学意义（P>0.05）;术后1、3、5 d，观察组Cor、NE均低于对照组，观察组GAS、MTL均高于对照组，差异均有统计学意义（P<0.05）。结论：单孔腹腔镜在输卵管妊娠患者中的应用效果较好，且对胃肠功能的不良影响较小，因此临床应用价值较高。

【关键词】 单孔腹腔镜 输卵管妊娠 胃肠功能

Study on the Application Effect of Laparoendoscopic Single-site Surgery in the Patients with Tubal Pregnancy and Influence for Gastrointestinal Function/HE Juan. //Medical Innovation of China， 2021， 18（29）： 0-052

[Abstract] Objective： To investigate and observe the application effect of laparoendoscopic single-site surgery in the patients with tubal pregnancy and influence for gastrointestinal function. Method： A total of 80 patients with tubal pregnancy in our hospital from March 2018 to March 2020 were selected， they were randomly divided into control group and observation group according to the method of random number table， 40 cases in each group. The control group was treated with conventional laparoscopy， and the observation group was treated with laparoendoscopic single-site surgery. Blood loss， bowel sound recovery time， exhaust time， defecation time， 1， 2， 3 d VAS scores after surgery， stress hormone and gastrointestinal hormone levels before surgery and 1， 3， 5 d after surgery were compared between two groups. Result： The blood loss in the observation group was （32.01±3.53） mL，

which was less than （37.10±3.96） mL in the control group， the difference was statistically significant （P<0.05）. 1， 2 and 3 d after surgery， VAS scores in the observation group were lower than those in the control group， the differences were statistically significant （P<0.05）. The bowel sound recovery time， exhaust time and defecation time in the observation group were better than those in the control group， the differences were statistically significant （P<0.05）. Before surgery， there were no significant differences in Cor， NE， GAS and MTL between two groups （P>0.05）; 1， 3 and 5 d after surgery， Cor and NE in the observation group were lower than those in the control group， while GAS and MTL in the observation group were higher than those in the control group， the differences were statistically significant （P<0.05）. Conclusion： The application effect of laparoendoscopic single-site surgery in tubal pregnancy patients is better， and the adverse effect on gastrointestinal function is small， therefore， the application value is high.

[Key words] Laparoendoscopic single-site surgery Tubal pregnancy Gastrointestinal function

First-author’s address： Shangrao Maternal and Child Health Hospital， Shangrao 334000， China

doi：10.3969/j.issn.1674-4985.2021.29.012

输卵管妊娠作为临床常见的异位妊娠，其临床研究多见，其中以手术为主，而腹腔镜手术作为临床常见的微创手术方式，其手术创伤较小，具有较高的应用价值[1-2]。近年来临床中将单孔腹腔镜用于妇科手术的研究不断增多，取得较好的效果，但是其相对于传统腹腔镜的应用效果方面的研究虽可见，结果间的差异却极为突出，导致其在输卵管妊娠患者中的应用价值仍有待进一步深入探究[3-5]。因此，本研究就单孔腹腔镜在输卵管妊娠患者中的应用效果及对胃肠功能的影响进行探究与观察，现报道如下。……