单孔腹腔镜在卵巢良性疾病治疗中的应用  

The application of laparoendoscopic single-site surgery in ovarian benign diseases

作　　者：王小婕[1] 黄浩[1] 杨尚武[1] 王凤[1] 黄诗敏[1] 

机构地区：[1]南方医科大学附属南海人民医院妇科,广东佛山528200

出　　处：《中国妇幼健康研究》2013年第5期732-735,共4页Chinese Journal of Woman and Child Health Research

摘　　要：目的：探讨单孔腹腔镜在治疗卵巢良性疾病中的可行性及临床价值。方法选取南方医科大学附属南海人民医院2010年1月至2012年5月完成的单孔腹腔镜卵巢良性疾病手术30例作为研究组，与同期由同组手术医生完成的常规腹腔镜手术37例作对照组，比较两组的术前、术中及术后情况。结果两组手术均获成功，均无术后病率及并发症发生。研究组手术时间为（76．17±30．56）分钟，显著长于对照组（55．86±18．16）分钟（ z＝-2．914，P＜0．05）。研究组术后24小时疼痛评分低于对照组（t＝-5．529，P＜0．05）。研究组术后1个月疼痛问卷调查表评分显著低于对照组（z＝-3．206，P＜0．05）。研究组与对照组在出血量（t＝-1．303，P＞0．05）、排气时间（t＝-1．737，P＞0．05）、术后住院日（t＝-1．149，P＞0．05）比较差异均无统计学意义。随访1～12个月，两组患者腹壁切口恢复好，无切口感染、出血及切口疝发生，研究组腹壁基本无疤痕，达到了完美的美容效果。结论单孔腹腔镜手术在卵巢良性疾病中的应用，不仅可以达到常规腹腔镜手术创伤小、恢复快，手术区域结构组织暴露清晰等同样的效果，且更具有完美的美容效果及疼痛轻、损伤更小等优势。Objective To investigate the feasibility and the value of laparoendoscopic single-site surgery （ LESS ） in ovarian benign diseases.Methods From January 2010 to May 2012, 30 cases of ovarian begin diseases were treated with LESS in Hospital of Nanhai District.They were included in study group .At the same period another 37 cases undergoing conventional laparoscopy by the same physicians were in control group .The preoperative , intra-operative and postoperative situations were compared between two groups . Results All the procedures were performed successfully in both groups .There was no postoperative morbidity or complications .The mean operation time of the study group （76.17 ±30.56min） was significantly longer than that of the control group （55.86 ±18.16mins） （ z=-2.914, P〈0.05）.The score of pain 24 hours after operation in the study group was lower than that in the control group （t=-5.529, P〈0.05）.The scores in pain questionnaire 1 month after operation in the study group were significantly lower than those in the control group （z=-3.206,P〈0.05）.No significant difference was observed in the volume of bleeding （t=-1.303, P〉0.05）, anal exhaust time （t=-1.737, P〉0.05） and the length of hospital stay after operation （t=-1.149,P〉0.05） between two groups.All the patients were followed up for certain period from 1 to 12 months, during which no incision hernia , hemorrhage or incision infection occurred .No apparent scar could be seen in the umbilicus in the patients who took LESS , which obtained good cosmetic outcome .Conclusion LESS in ovarian benign diseases not only has the same effects as those of the traditional laparoscopic operation in the field of mini trauma , quick recovery and in focus exposure operation area , but also gives less pain , less trauma, as well as the better cosmetic results .

关 键 词：单孔腹腔镜手术 经脐入路 妇科良性疾病 疼痛评分 美容效果 

分 类 号：R711[医药卫生—妇产科学]