摘要
目的探讨经耻骨联合上小切口腹腔镜手术治疗妇科部分良性疾病的可行性和临床应用价值。方法收集武汉市第一医院妇科2017年1月至2018年10月行经耻骨联合上小切口腹腔镜手术患者80例(观察组),选择同期经传统4孔腹腔镜手术患者82例(传统组)作为对照,回顾性分析两组临床资料。手术方式包括卵巢囊肿剥除术、输卵管开窗取胚术、输卵管切除术、输卵管造口术等。结果观察组和传统组手术均顺利完成,观察组相比传统组在手术时间[(45.31±7.35)minvs.(52.46±9.21)min]、术中出血量[(30.79±7.74)m Lvs.(32.58±5.21)m L]、下床时间[(12.93±3.95)h vs.(14.47±8.51)h]、术后排气时间[(14.29±4.19)h vs.(20.03±4.34)h]、住院时间[(5.76±1.43)d vs.(9.08±2.57)d]等方面差异无统计学意义(P>0.05);而在术后疼痛[(3.14±1.12)分vs.(6.54±1.27)分]和美容评分[(4.7±0.3)分vs.(2.5±0.8)分]方面差异有统计学意义(P<0.05)。结论经耻骨联合上小切口腹腔镜手术治疗妇科部分良性疾病安全有效,手术瘢痕隐秘或无痕,可充分应用已有设备和器械,费用低廉,值得临床推广应用。
Objective To study the feasibility and clinical application value of laparoscopic surgery via suprapubic small incision in the treatment of gynecological benign diseases.Methods A total of 80 patients who received laparoscopic surgery through suprapubic small incison in Wuhan First Hospital from Jan. 2017 to Oct. 2018 were collected as the new-operative group,and 82 patients who received the traditional 4-hole laparoscopic surgery during the same period were included as the controls(traditional group).Their clinical data were analyzed retrospectively.Operative methods included ovarian cyst removal,oviduct fenestration,oviduct resection,salpingostomy,etc.Results The operation was secessful in both groups.There were no significant differences in operation time[(45.31±7.35)min vs.(52.46±9.21)min],bleeding[(30.79±7.74)mL vs.(32.58±5.21)mL],getting out of bed time[(12.93±3.95)h vs.(14.47±8.51)h],anal exhaust time[(14.29±4.19)h vs.(20.03±4.34)h]or hospitalization time[(5.76±1.43)d vs.(9.08±2.57)d]between the new operative group and the traditional group(P>0.05),but there were significant differences in pain score(3.14±1.12 vs.6.54±1.27)and cosmetic score(4.7±0.3 vs. 2.5±0.8)between the new operative group and the traditional group(P<0.05).Conclusion Laparoscopic surgery via suprapubic small incision is safe and effective in the treatment of some gynecological benign diseases. The scar is hidden or no scar is present.It is worth popularizing and applying in clinic because of its low cost and full use of existing equipment and instruments.
作者
王平
王中显
李红英
王冬花
龚世雄
WANG Ping;WANG Zhong-xian;LI Hong-ying;WANG Dong-hua;GONG Shi-xiong(Department of Gynecology,Wuhan First Hospital,Wuhan 430022,China;Department of Gynecology,Maternal and Child Health Care Hospital of Hubei Province,Wuhan 430070,China)
出处
《中国实用妇科与产科杂志》
CAS
CSCD
北大核心
2019年第6期698-701,共4页
Chinese Journal of Practical Gynecology and Obstetrics
基金
2017-2018年度湖北省卫生计生委适宜技术推广项目(WJ2017S006)
关键词
腹腔镜手术
入路通道
卵巢囊肿剥除术
laparoscopic surgery
access channel
excision of ovarian cyst
