腹腔镜双孔腹壁皮下悬吊式腹腔镜行子宫肌瘤切除术的可行性分析  

Laparoscopic abdominal subcutaneous pendant double holes laparoscopic hysteromyoma resection of feasibility analysis

作　　者：高梅[1] 

机构地区：[1]河南省商丘市第一人民医院,河南商丘476100

出　　处：《临床医药文献电子杂志》2016年第21期4133-4134,共2页Electronic Journal of Clinical Medical Literature

摘　　要：目的 探讨腹腔镜双孔腹壁皮下悬吊式腹腔镜行子宫肌瘤切除术的可行性。方法 选取2012年10月~2014年10月我院收治的子宫肌瘤切除患者96例作为研究对象,其中行单孔腹壁皮下悬吊式腹腔镜手术的患者为对照组;行双孔腹壁皮下悬吊式腹腔镜手术的患者为观察组。对比两组患者的治疗依从性、出血量、排气时间、手术时间、住院天数及不良反应发生情况。结果 观察组患者在治疗依从性、出血量、排气时间、手术时间及不良反应发生情况方面均优于对照组,且差异有统计学意义（U治疗依从性=4.84,t出血量=12.432,t排气时间=2.394,t手术时间=9.186,t患者满意度=7.104,P〈0.05）。结论 采用双孔腹壁皮下悬吊式腹腔镜手术可有效提高患者依从性及临床疗效,简单易行,值得进一步推广。Objective To observe the clinical effects ofgasless laparoendoscopic double-site cholecystectomy with abdominal wall lift. Methods Retrospective analysis of clinical data of 96 cases hospitalized uterine fibroids from October 2012 to October 2014 at the hospital, where author worked. The patients with uterine fibroids were classified into two groups： the patients received single-site cholecysteetomy with abdominal wall lift were classified into control group, while those received double-site cholecystectomy with abdominal wall lift were classified into observation group. Treatment compliance, blood loss, exhaust time, treatment time, length of stay and incidence of adverse reactions of the two groups were evaluated and compared. Results The treatment compliance, blood loss, exhaust time, treatment time and incidence of adverse reactions in observation group were much better than in the control group, and the differences were significant （U treatment compliance =4.84,t blood loss =12.432, t exhaust time =2.394,t treatment time =9.186,t patient satisfaction =7.104, P〈0.05）. Conclusion Suspended holes subcutaneous use of laparoseopic surgery can improve patient compliance and clinical efficacy, simple, worthy of further promotion.

关 键 词：腹腔镜 子宫肌瘤 双孔腹壁 

分 类 号：R713.6[医药卫生—妇产科学]