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经脐单孔腹腔镜在妇科良性疾病中的应用及可行性探讨 被引量:11

Study of application and feasibility of transumbilical single-port laparoscopy in benign gynecological diseases
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摘要 目的分析经脐单孔入路腹腔镜手术在妇科良性疾病中的应用价值及可行性。方法选取我院妇科2019年8月~2020年2月收治行手术治疗的60例妇科良性疾病患者作为本研究对象,按照随机数字表法将患者分为观察组与对照组,观察组行经脐单孔入路腹腔镜手术治疗,对照组行传统入路腹腔镜手术治疗,比较两组的手术指标、术后24h NRS评分、术后并发症发生情况。结果观察组与对照组术中出血量、术后肛门排气时间、住院时间以及术后并发症发生情况比较,差异无统计学意义(P>0.05),观察组手术时间长于对照组,术后24h NRS评分低于对照组(P<0.05)。结论经脐单孔入路腹腔镜手术虽然手术时间更长,但是在降低患者术后NRS评分方面更具优势,不会增加并发症发生情况,还可达到良好的美容效果,具有推广的价值。 Objective To analyze application value and feasibility of transumbilical single-port laparoscopic surgery in benign gynecological diseases.Methods A total of 60 patients with gynaecology benign diseases admitted to department of gynaecology in our hospital for surgical treatment from August 2019 to February 2020 were selected as the subjects of research and divided into the observation group and the control group according to the random number table method.The control group was treated with traditional laparoscopic surgery,while the observation group was treated with transumbilical single-port laparoscopic surgery.Surgical indicators,postoperative 24h NRS scores,and postoperative complications were compared between the two groups.Results There were no significant differences between the observation group and the control group in terms of intraoperative blood loss,postoperative anal exhaust time,hospitalization time and postoperative complications(P>0.05).The operative time of the observation group was longer than that of the control group,and the postoperative 24h NRS score was lower than that of the control group(P<0.05).Conclusion Although having longer operative time,transumbilical single-port laparoscopic surgery has more advantages in reducing postoperative NRS score of patients,without increasing the complications,and can achieve good cosmetic effect,which is worthy of promotion.
作者 曹清丽 CAO Qingli(Department of Gynaecology,the First People's Hospital of Shaoguan City,Guangdong,Shaoguan 512000,China)
出处 《中国医药科学》 2020年第24期109-112,共4页 China Medicine And Pharmacy
基金 广东省韶关市卫生健康科研项目(Y20055)。
关键词 经脐单孔入路 腹腔镜手术 妇科良性疾病 临床价值 Transumbilical single-port approach Laparoscopic surgery Benign gynecological diseases Clinical value
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