摘要
目的分析经脐单孔腹腔镜下子宫动脉阻断术联合切开取胚术在治疗剖宫产瘢痕部位妊娠(CSP)的安全性及可行性。方法选取行经脐单孔腹腔镜下子宫动脉阻断术联合切开取胚术的11例CSP患者作为研究组,行多孔腹腔镜下子宫动脉阻断术联合切开取胚术的10例CSP患者作为对照组,比较2组的基线资料及围术期相关临床数据。结果经脐单孔腹腔镜组与对照组的患者年龄、妊娠次数、剖宫产次数、距上次剖宫产时间、临床分型、停经时间以及有无阴道出血症状比较差异无统计学意义(P均>0.05)。2组的手术时间、术中出血量、术后保留导尿时间比较差异亦无统计学意义(P均>0.05)。经脐单孔腹腔镜组的术后疼痛数字等级评定量表评分低于对照组,住院时间短于对照组(P均<0.05)。结论经脐单孔腹腔镜下子宫动脉阻断术联合切开取胚术与传统多孔腹腔镜下子宫动脉阻断术联合切开取胚术相比,能减轻CSP患者术后疼痛及缩短住院时间,且安全性相当,美容效果更好,具有可行性。
Objective To evaluate the safety and feasibility of transumbilical single-port laparoscopic uterine artery embolization combined with incision and embryo retrieval in the treatment of cesarean scar pregnancy.Methods Eleven patients with cesarean scar pregnancy who underwent transumbilical single-hole laparoscopic uterine artery embolization combined with incision and embryo retrieval were recruited in the study group,and ten patients who underwent multi-hole laparoscopic uterine artery embolization combined with incision and embryo retrieval were assigned into the control group.Baseline data and perioperative clinical data were compared between two groups.Results No significant differences were found in age,number of pregnancies,number of cesarean sections,time interval from last cesarean section,clinical classification,number of days of menopause,and the presence or absence of symptoms of vaginal bleeding between two groups(all P>0.05).No significant differences were observed in operation time,intraoperative bleeding and postoperative retention time of catheterization between two groups(all P>0.05).In the study group,postoperative numeric rating scale(NRS)score was significantly lower and the length of hospital stay was significantly shorter compared with those in the control group(both P<0.05).Conclusions Compared with traditional multi-port laparoscopic uterine artery embolization combined with incision and embryo retrieval,transumbilical single-port laparoscopic uterine artery embolization combined with incision and embryo retrieval is a feasible and safe procedure,which can alleviate postoperative pain,shortern the length of hospital stay and yield better cosmetic results.
作者
李孟春
何静
冯君
张跃明
侯文杰
Li Mengchun;He Jing;Feng Jun;Zhang Yueming;Hou Wenjie(Department of Gynecology and Obstetrics,the Fourth Affiliated Hospital of Soochow University(Suzhou Dushu Lake Hospital),Suzhou 215000,China)
出处
《新医学》
CAS
2024年第4期298-302,共5页
Journal of New Medicine
基金
苏州市自贸区生物医药创新发展强链补链科技专项(医工结合协同创新研究)(SZM2022008)
苏州大学新型功能高分子材料国家地方联合工程实验室开放课题(SDGC2204)。
关键词
瘢痕部位妊娠
经脐单孔腹腔镜
子宫动脉阻断术
加速康复
Cesarean scar pregnancy
Transumbilical single-port laparoscopy
Uterine artery embolization
Accelerated recovery
