摘要
目的通过应用自制入路平台及配合可弯曲能量器械行单孔腹腔镜全子宫切除术,探讨自制入路平台进行单孔腹腔镜下全子宫切除术安全性、可行性及手术效果。方法选取2018年1月~2019年9月我院肿瘤科收治接受全子宫切除术的患者80例,随机分为研究组和对照组,每组各40例。对照组予以传统四孔腹腔镜治疗,研究组应用自制入路平台行单孔腹腔镜治疗,统计两组患者的手术时间、术中出血量、术后肛门排气时间、术后切口疼痛评分、术后体象量表评分、术后并发症发生率、术后住院时间、手术费用等相关数据。结果两组手术均顺利完成,无明显手术并发症发生。研究组术后切口疼痛评分为1(1,2)分,低于对照组的2(1,2)分,差异有统计学意义(P<0.05)。研究组术后体象量表评分为5(4,5)分,高于对照组的4(4,4)分,差异有统计学意义(P<0.05)。围术期及术后随访结果显示,研究组的手术时间为(115.91±19.01)min,长于对照组的(105.30±9.06)min,术后肛门排气时间为(22.73±5.70)h,短于对照组的(24.87±2.50)h,两组比较,差异均有统计学意义(P<0.05)。研究组和对照组的术中出血量分别为(66.75±18.76)mL和(66.38±19.95)mL,术后住院时间分别为(4.60±0.90)d和(4.90±0.70)d,手术费用分别为(6335.80±47.38)元和(6447.90±53.26)元,术后并发症发生率分别为5.0%和7.5%,两组比较,差异均无统计学意义(P>0.05)。结论自制入路平台及配合使用可弯曲能量器械进行单孔腹腔镜全子宫切除术安全可行,可减轻患者术后疼痛,获得更佳的美容效果。
Objective To investigate the safety,feasibility and surgical efficacy of single-port laparoscopic total hysterectomy via self-made approach platform combined with flexible energy devices.Methods A total of 80 patients treated with total hysterectomy and admitted to the oncology department of our hospital from January 2018 to September 2019 were selected and randomly divided into the control group and the study group with 40 cases in each group.The control group was treated with conventional four-port laparoscopic treatment,while the study group was treated with single-port laparoscopic treatment via self-made approach platform.The relevant data of operation duration,intraoperative hemorrhage volume,postoperative anal exhaust time,postoperative pain score,postoperative body image scale,postoperative complications,postoperative hospitalization time,and operation expense in the two groups of patients were counted.Results The operations in both groups were completed smoothly without obvious complications.The postoperative pain score of the experimental group was 1(1,2)points,lower than that of the control group 2(1,2)points,and the difference was statistically significant(P<0.05).According to the postoperative postoperative body image scale,the satisfaction of patients in the experimental group was 5(4,5)points,higher than that of the control group 4(4,4)points,respectively,and the differences were statistically significant(P<0.05).In terms of the results of perioperative and postoperative follow-up,the operation duration of the experimental group was(115.91±19.01)min,longer than that of the control group(105.30±9.06)min,respectively.And the difference between the two groups was statistically significant(P<0.05).The postoperative anal exhaust time of the experimental group was(22.73±5.70)h,Shorter than that of the control group(24.87±2.50)h,and there were statistically significant differences between the two groups(P<0.05).The intraoperative hemorrhage volume was(66.75±18.76)mL and(66.38±19.95)mL,respectively.T
作者
邹纯静
罗庆
杨君
胡德亮
张凡
吴谋喜
ZOU Chunjing;LUO Qing;YANG Jun;HU Deliang;ZHANG Fan;WU Mouxi(Department of Obstetrics and Gynecology,Jiujiang City Maternal and Child Health Care Hospital in Jiangxi Province,Jiujiang 332000,China)
出处
《中国现代医生》
2020年第34期76-79,92,共5页
China Modern Doctor
基金
江西省卫生健康委员会科技计划项目(20194027)。
关键词
全子宫切除术
单孔腹腔镜
自制入路平台
可弯曲能量器械
术后恢复
美容效果
Total hysterectomy
Single port laparoscope
Self-made approach platform
Flexible energy device
Postoperative recovery
Cosmetic efficacy
