常规器械单孔腹腔镜妇科和外科疾病联合手术46例  

Analysis of 46 cases of combined operation of gynecological and surgical diseases with single-hole laparoscopy of instruments

作　　者：冯云[1] 闫雪兰[1] 董薇[1] 许鸿霞[1] 张粉 朱彩芬 赵晗 刘靖 黄慧娟 Feng Yun;Yan Xuelan;Dong Wei;Xu Hongxia;Zhang Fen;Zhu Caifen;Zhao Han;Liu Jing;Huang Huijuan

机构地区：[1]云南省第一人民医院生殖妇科,昆明650032 [2]大理大学,671000

出　　处：《中华腔镜外科杂志（电子版）》2018年第3期162-165,共4页Chinese Journal of Laparoscopic Surgery(Electronic Edition)

基　　金：云南省卫生科技计划项目(2016NS196;2016NS195;2016NS194;2016NS193);云南省科技惠民计划项目(2014RA019);云南省创新团队项目(2017HC009)

摘　　要：目的探讨常规器械单孔腹腔镜妇科和外科疾病联合手术的应用价值。方法回顾性分析2014年1月至2017年11月,采用常规器械单孔腹腔镜妇科和外科联合手术46例(观察组,其中单孔腹腔镜胆囊和卵巢囊肿联合手术32例、胆囊和子宫联合手术6例、胆囊和输卵管积水联合手术3例、阑尾和卵巢囊肿联合手术4例、胆囊和输卵管吻合联合手术1例),与同期单孔腹腔镜相应妇科手术46例进行对比分析(对照组)。结果观察组:手术时间50~240 min,平均(119.03±41.17)min;术中出血量10l^450 ml,平均(46.33±17.28)ml,术后住院时间3~7 d,平均(3.98±0.75)d。对照组:手术时间50~210 min,平均(106.39±32.32)min;术中出血量20~300 ml,平均(45.65±16.20)ml,术后住院时间3~5 d,平均(3.80±0.02)d。两组的手术时间、术中出血量、术后肠道恢复时间、术后住院时间比较,差异无统计学意义(P>0.05)。结论常规器械单孔腹腔镜妇科和外科多个疾病联合手术能降低医疗成本,患者腹部切口更美观。Objective To explore the application value of the combined operation of gynecological and surgical diseases with single-hole laparoscope of conventional instruments.Methods A retrospective analysis from Jan.2014 to Nov.2017,46 cases(observation group)of combined operation of gynecological and surgical diseases with single-hole laparoscope of conventional instruments,and make a comparative analysis of 46 cases(control group)of gynecological operation with single-hole laparoscopy in the same period(combined operation of 32 cases of single-hole laparoscopic cholecystectomy and ovarian cyst,6 cases of combined gallbladder and uterus resectionsection,3 cases of combined operation of gallbladder and fallopian tube,4 cases of joint operation of appendix and ovarian cyst,the appendix joint surgery and chronic tubal pregnancy in 1 case).Results Observation group:The operation time was 50-240 min,with an average of(119.03±41.17)min.The intraoperative blood loss was 10l-450 ml,with an average of(46.33±17.28)ml,and the length of hospital stay was 3-7 days,with an average of(3.98±0.75)days.Control group:The operation time was 50-210 min,with an average of(106.39±32.32)min.The intraoperative blood loss was 20-300 ml,with an average of(45.65±16.20)ml,and the length of hospital stay was 3-5 days,with an average of(3.80±0.02)days.There was no statisticall significant difference between the groups in the operation time,blood loss and the length of hospital stay(P>0.05).Conclusions The combined operation of multiple diseases of gynecology and surgery under single-hole laparoscopy can reduce health care costs.At the same time,patients with small abdominal incision have a strong aesthetic effect.

关 键 词：单孔腹腔镜 妇科手术 外科手术 

分 类 号：R656[医药卫生—外科学]