经脐两孔法腹腔镜在妇科急症中的应用研究  

The Clinical Application Value of Transumbilical Two-port Laparoscopic Surgery for Gynecologic Acute Abdomen

作　　者：黄晓斌[1] 张汝坚[1] 江卓飞 李庆东 郑玉华[1] HUANG Xiao-bin;ZHANG Ru-jian;JIAN zhuo-fei;LI Qing-dong;ZHENG Yu-hua(Gynecology Department,Foshan Maternal and Child Healthcare Hospital,Foshan,Guangdong,528000)

机构地区：[1]佛山市妇幼保健院妇科南方医科大学附属佛山妇幼保健院,528000

出　　处：《岭南急诊医学杂志》2018年第6期577-579,共3页Lingnan Journal of Emergency Medicine

基　　金：佛山市科技局医学类科技攻关项目(2015AB0395)

摘　　要：目的:探讨经脐两孔法腹腔镜在妇科急症中应用的安全性与有效性。方法:回顾性地对2013年1月至2018年6月我科采用经脐两孔法腹腔镜手术或多孔腹腔镜手术完成的妇科急腹症手术的临床资料进行比较分析。结果:59例患者经脐两孔法腹腔镜手术,115例患者完成了多孔法腹腔镜手术。两组患者在手术时间、出血量、术后肛门恢复排气、术后疼痛评分等方面无明显差异,两孔法腹腔镜术后切口CS评分高于多孔组,两孔法腹腔镜取标本时间、缝合切口时间短于多孔腹腔镜组(P<0.05)。结论:经脐两孔法腹腔镜手术能安全、有效的完成部分妇科急诊手术,且术后伤口更美观。Objective:To investigate the safety and effect of transumbilical two-port laparoscopic surgery(TTLS)for gynecologic acute abdomen. Methods:The clinical data of 59 patients with gynecologic acute abdomen undergoning TTLS and 115 patients with gynecologic acute abdomen undergoing conventional multiport laparoscopic surgery(CMLS)at Foshan Maternal and Child Healthcare Hospital from January 2013 to June 2018 was analyzed retrospectively.Results:In this study period,these two operative methods resulted in similar operative time、estimated blood loss、time to first flatus、the VAS score of pain. However,the TTLS group had a higher CS score,shorter time for specimen collection、shorter suturing time(P<0.05). Conclusions:It is safe,effective to use transumbilical two-port laparoscopic surgery under gynecologic acute abdomen in selected patients with the advantage of cosmetic effect.

关 键 词：腹腔镜 妇科急腹症 经脐两孔法腹腔镜 

分 类 号：R713[医药卫生—妇产科学]