【摘要】 目的 探讨经脐单切口无平台腹腔镜下单侧输卵管切除术治疗输卵管妊娠的效果。方法 回顾性分析2020年4月至2022年3月在福建省妇幼保健院因输卵管妊娠行手术治疗的108例患者的临床资料，根据手术方式分为研究组（行经脐单切口无平台腹腔镜下单侧输卵管切除术，52例）和对照组（行多孔腹腔镜下单侧输卵管切除术，56例）。比较两组患者的盆腔积血量、术中出血量、手术时间、术后肛门排气时间、术后住院时间、住院费用、术后血β人绒毛膜促性腺激素（β-HCG）转阴时间。术后24 h采用面部表情量表评价疼痛情况、术后2个月采用Kiyak满意度量表评价切口满意度。结果 两组患者的盆腔积血量、手术时间、术中出血量、术后住院时间、住院费用、血β-HCG转阴时间比较，差异无统计学意义（P>0.05）。研究组患者的术后24 h疼痛评分低于对照组，排气时间短于对照组，切口满意度评分高于对照组，差异有统计学意义（P<0.05）。结论 经脐单切口无平台腹腔镜下单侧输卵管切除术治疗输卵管妊娠安全有效，切口美观，患者满意度高，有利于快速康复，值得在临床中推广应用。更多还原

【Abstract】 Objective To investigate the effect of transumbilical single incision platform-free laparoscopic unilateral salpingectomy in the treatment of tubal pregnancy. Methods The clinical data of 108 patients who underwent surgical treatment for tubal pregnancy in Fujian Provincial Maternity and Children’s Hospital from April 2020 to March 2022 were retrospectively analyzed. According to the surgical method, they were divided into the study group(transumbilical single incision platform-free laparoscopic unilateral salpingectomy, 52 cases) and the control group(unilateral salpingectomy under multiport laparoscopy, 56 cases). The volume of pelvic blood accumulation, intraoperative blood loss, operation time,postoperative anal exhaust time, postoperative hospitalization time, hospitalization cost, and postoperative blood β-human chorionic gonadotropin(β-HCG) negative time were compared between the two groups. The facial expression scale was used to evaluate the pain status at 24 hours after the operation, and the incision satisfaction was evaluated with the Kiyak satisfaction scale at 2 months after the operation. Results There were no significant differences in the amount of pelvic blood accumulation, operation time, intraoperative blood loss, postoperative hospitalization time, hospitalization cost, and bloodβ-HCG negative conversion time between the two groups(P>0.05). The 24 h postoperative pain score of the study group was lower than that of the control group, the exhaust time was shorter than that of the control group, and the incision satisfaction score was higher than that of the control group, and the differences were statistically significant(P <0.05).Conclusion Transumbilical single incision platform-free laparoscopic unilateral salpingectomy for tubal pregnancy is safe and effective, with a beautiful incision, high patient satisfaction, and rapid recovery, which is worthy of clinical application.更多还原