经脐单孔腹腔镜手术与传统腹腔镜手术应用于子宫内膜癌分期手术的效果对比研究  

A comparative study on the effects of staging operation on endometrial cancer with laparoendoscopic single-site surgery versus conventional laparoscopy

作　　者：赵仁峰[1] 黄晖媛 许玉泉 刘妮平[1] 莫伟英[1] 夏秀芳[1] ZHAO Ren-feng;HUANG Hui-yuan;XU Yu-quan(Department of Gynecology,the People′s Hospital of Guangxi Zhuang Autonomous Region,Nanning 530021,China)

机构地区：[1]广西壮族自治区人民医院妇科,南宁530021

出　　处：《中国临床新医学》2020年第8期766-770,共5页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

基　　金：广西科学研究与技术开发计划项目(编号:桂科攻15277006)。

摘　　要：目的探讨经脐单孔腹腔镜在子宫内膜癌分期手术治疗中的安全性及可行性,以拓展经脐单孔腹腔镜在妇科恶性肿瘤手术中的应用。方法选取广西壮族自治区人民医院妇科2014-06~2018-06收治的100例子宫内膜癌患者作为研究对象,按手术方式分为观察组和对照组,各50例。观察组行经脐单孔腹腔镜子宫内膜癌分期手术,对照组行传统腹腔镜子宫内膜癌分期手术。对患者的术中、术后情况进行对比分析。结果两组手术时间、术中出血量、盆腔淋巴结清扫个数、切口愈合不良、术后病率及术后排气时间差异无统计学意义(P>0.05)。观察组住院天数短于对照组,术后24 h视觉模拟量表(Visual Analogue Scale,VAS)评分明显低于对照组,术后美容效果较对照组满意,差异有统计学意义(P<0.05)。结论经脐单孔腹腔镜手术应用于子宫内膜癌分期手术是安全、可行的,且具有术后恢复快、疼痛少、美容效果好、住院天数少等优点,值得推广。Objective To explore the safety and feasibility of laparoendoscopic single-site surgery(LESS)in the staging operation of endometrial cancer(EC),so as to expand the application of LESS in gynecological malignant tumor surgery.Methods One hundred EC patients admitted to the Department of Gynecology,the People′s Hospital of Guangxi Zhuang Autonomous Region from June 2014 to June 2018 were selected as the research subjects,and were divided into observation group(n=50)and control group(n=50)according to different surgical modes.The observation group received LESS in the staging operation of EC,and the control group received conventional laparoscopy in the staging operation of EC.The intraoperative and postoperative conditions of the patients were compared and analyzed.Results There were no significant differences between the two groups in operation time,intraoperative blood loss,number of pelvic lymph nodes dissected,poor healing of incision,postoperative disease rate,and postoperative exhaust time(P>0.05).The length of hospital stay in the observation group was significantly shorter than that in the control group(P<0.05).The Visual Analogue Scale(VAS)scores in the observation group 24 hours after operation were significantly lower than those in the control group(P<0.05).The patients in the observation group were more satisfied with the postoperative cosmetic effect than those in the control group,and the difference was statistically significant(P<0.05).Conclusion LESS is safe and feasible for staging operation of endometrial cancer,and has the advantages of rapid postoperative recovery,less pain,good cosmetic effect and less hospitalization days,which is worthy of clinical application.

关 键 词：经脐单孔腹腔镜手术 子宫内膜癌 分期手术 

分 类 号：R737.33[医药卫生—肿瘤]