针钩辅助下经脐单孔腹腔镜子宫肌瘤剔除术疗效观察  

“Fish hook”assisted transumbilical single-port laparoscopic surgery for uterine myomectomy

作　　者：肖倩琨 戚潜辉[1] 邓樑卿 朱炜如 江梅珍[1] 车坤兰 XIAO Qian-kun;QI Qian-hui;DENG Liang-qing;ZHU Wei-ru;JIANG Mei-zhen;CHE Kun-lan(Department of Obstetrics and Gynecology,the Second Affiliated Hospital of Guangzhou Medical University,Guangzhou 510260,China)

机构地区：[1]广州医科大学附属第二医院妇产科,广东广州510260

出　　处：《中国实用妇科与产科杂志》2023年第1期119-122,共4页Chinese Journal of Practical Gynecology and Obstetrics

摘　　要：目的探讨针钩辅助下经脐单孔腹腔镜子宫肌瘤剔除术的安全性及可行性。方法回顾性分析2021年1月至12月在广州医科大学附属第二医院行经脐单孔腹腔镜子宫肌瘤剔除术36例(非针钩组),行针钩辅助下经脐单孔腹腔镜子宫肌瘤剔除术32例(针钩组)患者的临床资料。将两组手术时间、术中出血量、术后肛门排气时间、术后并发症发生率、手术成功率等指标作比较分析。结果两组比较,针钩组手术时间短[(116.4±21.1)min vs.(187.6±12.5)min]、中出血量少[(94.5±34.8)mL vs.(161.2±38.7)mL]、手术成功率高(100.0%vs.86.1%),差异均有统计学意义(P<0.05)。两组术后肛门排气时间[(23.2±4.0)h vs(.22.9±4.3)h],差异无统计学意义(P>0.05)。两组均无术后并发症发生。结论针钩辅助下经脐单孔腹腔镜子宫肌瘤剔除术能有效缩短手术时间,减少术中出血量,提高手术成功率,未增加手术并发症,安全可行。Objective To investigate the safety and feasibility of transumbilical single-port laparoscopic myomectomy assisted by needle-hook.Methods A retrospective analysis was performed on 36 cases of transumbilical single-port laparoscopic myomectomy(non-needle hook group)and 32 cases of transumbilical single-port laparoscopic myomectomy(needle-hook group)in the Second Affiliated Hospital of Guangzhou Medical University from January to December 2021.The operation time,intraoperative blood loss,postoperative anal exhaust time,postoperative complications,operatiion success rate and other indicators of the two groups were compared and analyzed.Results Compared with the two groups,the operation time of the needle-hook group was shorter[(116.4±21.2)min vs.(187.6±12.5)min],the intraoperative blood loss was less[(94.5±34.8)mL vs.(161.2±38.7)mL],and the success rate of the operation was higher(100%vs.86.1%).The differences were statistically significant(P<0.05).Two groups of postoperative anal exhaust time[(23.2±4.0)h vs.(22.9±4.3)h],there was no statistically significant difference(P>0.05).No postoperative complications occurred in both groups.Conclusion Transumbilical sigle-port laparoscopic myomectomy assisted by needle-hook can effectively shorten the operation time,reduce intraoperative blood loss and improve the successs of the operation rate,no increased surgical complications,is safe and feasible.

关 键 词：针钩辅助 经脐单孔腹腔镜手术 子宫肌瘤 子宫肌瘤剔除术 

分 类 号：R737[医药卫生—肿瘤]