单孔腹腔镜在妇科附件手术中的应用  

The Application of Single-hole Laparoscopy in Gynecologic Adnexal Surgery

作　　者：朱伟[1] 毛世琴[1] ZHU Wei;MAO Shiqin(Department of Obstetrics and Gynecology,Jingjiang People＇s Hospital,Jingjiang Jiangsu 214500,China)

机构地区：[1]靖江市人民医院妇产科,江苏靖江214500

出　　处：《中国继续医学教育》2018年第29期108-110,共3页China Continuing Medical Education

摘　　要：目的探讨单孔腹腔镜在妇科附件手术中的应用。方法选取我科室2016年1月—2018年5月采用单孔腹腔镜附件手术的20例患者为观察组,选取同期收治的常规腹腔镜附件手术40例为对照组,比较两组的术中相关指标、术后恢复及美容评分。结果两组在手术时间、术中出血量、排气时间、术后并发症、住院时间差异无统计学意义(P> 0.05)。观察组的标本取出时间短于对照组,差异有统计学意义(P<0.05)。观察组术后24 h的疼痛评分低于对照组,术后2周的切口美容评分高于对照组,差异有统计学意义(P <0.05)。结论单孔腹腔镜手术治疗妇科附件疾病的疗效满意,与常规腹腔镜手术相当,但能够减少术后瘢痕。Objective To explore the application of single-hole laparoscopy in gynecologic appendage surgery. Methods 20 patients with single-hole laparoscopic appendages from January 2016 to May 2018 were selectedas the observation group, and 40 cases of the conventional laparoscopic appendages were selected as the control group. The related indexes, postoperative recovery and beauty score of the two groups were compared. Results there was no signifcant diference in operative time, intraoperative blood loss, exhaust time, postoperative complications and hospital stay between the two groups （P〉0.05）. The time taken out in the observation group was shorter than that in the control group, and the diferences were statistically signifcant （P〈0.05）. The pain score of 24h in the observation group was lower than that in the control group, and the incision cosmetic score at 2 weeks after operation was higher than that in the control group, and the diferences were statistically signifcant （P〈0.05）. Conclusion single-hole laparoscopic surgery is efective in the treatment of gynecological adnexal diseases. It is equivalent to conventional laparoscopic, but it can reduce postoperative scar and is worthy of application.

关 键 词：单孔腹腔镜 妇科 附件手术 常规腹腔镜手术 效果 比较 

分 类 号：R737[医药卫生—肿瘤]