摘要
目的:探究经脐单孔腹腔镜治疗妇科良性疾病的临床价值。方法:选择行多孔腹腔镜手术治疗的妇科良性疾病患者为对照组(n=40);另选择同期行经脐单孔腹腔镜手术的妇科良性疾病患者为观察组(n=40)。比较两组患者手术情况、术后恢复情况及患者对切口满意度的评分。结果:观察组不同手术类型(输卵管切除术、输卵管切开取胚术、囊肿剥除术、附件切除术、子宫肌瘤剔除术)的手术时间均长于对照组(P<0.05)。两组术中出血量、中转开腹率比较,差异无统计学意义(P>0.05)。两组术后并发症发生率、肛门排气时间、下床活动时间、住院时间比较,差异无统计学意义(P>0.05)。观察组术后12 h、24 h切口疼痛的视觉模拟(VAS)评分低于对照组,患者对切口外观满意度评分高于对照组(P<0.05)。结论:经脐单孔腹腔镜具有术后疼痛轻、美容效果良好等优点,是一种安全有效的手术方式,适用于妇科良性疾病治疗。
Objective:To explore the clinical value of transumbilical single port laparoscopy in the treatment of gynecological benign diseases.Methods:40 patients with gynecological benign diseases treated by traditional multi port laparoscopic surgery were selected as the control group,another 40 patients with gynecological benign diseases treated by transumbilical single port laparoscopic surgery in the same period were selected as the observation group.The operation conditions,postoperative recovery and the score of patients'satisfaction with incision were compared between the two groups.Results:The operation time of different types of operation(salpingectomy,salpingotomy and embryo extraction,cystectomy,appendectomy and myomectomy)in the observation group was longer than that in the control group(P<0.05).There were no significant difference in intraoperative blood loss and conversion rate between the two groups(P>0.05).There were no significant difference in the incidence of postoperative complications,anal exhaust time,ambulation time and hospital stay between the two groups(P>0.05).The visual analogue scale(VAS)score of incision pain at 12 and 24 h after operation in the observation group was lower than that in the control group,and the satisfaction score of incision appearancein the observation group was higher than that in the control group(P<0.05).Conclusion:Transumbilical single port laparoscopy has the advantages of light postoperative pain and good cosmetic effect.It is a safe and effective operation method,which is suitable for the treatment of gynecological benign diseases.
作者
杨楠
熊娟
唐英
YANG Nan;XIONG Juan(Department of Special Medical,Nanchong Central Hospital,the Second Clinical College of North Sichuan Medical College,Nanchong 637000,Sichuan,China)
出处
《川北医学院学报》
CAS
2023年第4期555-558,共4页
Journal of North Sichuan Medical College
基金
四川省南充市科学技术和知识产权局项目(18YFZJ0012)。
关键词
妇科良性疾病
经脐单孔腹腔镜手术
多孔腹腔镜手术
临床价值
满意度
Benign gynecological diseases
Transumbilical single port laparoscopic surgery
Porous laparoscopic surgery
Clinical value
Satisfaction
