自制入路通道经脐单孔腹腔镜在妇科良性疾病手术中的应用效果  

Application of self-made approach in transumbilical laparoendoscopic single-site surgery for benign gynecological diseases

作　　者：王健[1] 舒展[1] 郑彩霞[1] 郑冬媛 冯斌 WANG Jian;SHU Zhan;ZHENG Caixia;ZHENG Dongyuan;FENG Bin(Department of Obstetrics and Gynecology,Tangshan Union Medical College Hospital,Tangshan,Hebei 063000,China;不详)

机构地区：[1]唐山市协和医院妇产科,河北唐山063000 [2]唐山市协和医院手术室,河北唐山063000

出　　处：《中国临床研究》2023年第8期1162-1165,共4页Chinese Journal of Clinical Research

基　　金：河北省医学科学研究课题计划项目(20211372)。

摘　　要：目的通过自制入路通道经脐单孔腹腔镜手术(TU-LESS)与传统多孔腹腔镜手术的比较,探讨其对妇科良性疾病患者的手术效果。方法回顾性选取2021年1月至2022年5月唐山市协和医院收治的妇科良性疾病患者100例,根据手术方式分成两组,对照组采用传统多孔腹腔镜手术治疗,研究组采用自制入路通道TU-LESS治疗,各50例。比较两组不同妇科术式的治疗情况,包括手术时间、术中出血量、并发症、术后肛门排气时间、术后24 h VAS评分、术后下床时间、住院时间和治疗费用。结果研究组术后24 h VAS评分及治疗费用均低于对照组,术后肛门排气时间、术后下床时间及住院时间均短于对照组(P<0.01),但研究组术中出血量大于对照组(P<0.05),两组术中出血量均在120 mL以下。两组患者的手术时间和并发症发生率比较差异无统计学意义(P>0.05)。结论自制入路通道TU-LESS治疗妇科良性疾病的临床效果确切,可有效降低经济成本,缩短患者术后排气时间、离床活动和住院时间。Objective To evaluate the surgical effects of transumbilical laparoendoscopic single-site surgery(TU-LESS)through self-made approach channel versus traditional porous laparoscopic surgery(TPLS)in the patients with benign gynecological diseases(BGD).Methods A total of 100 BGD patients admitted to Tangshan Union Medical College Hospital from January 2021 to May 2022 were retrospectively selected and divided into control group(receiving TPLS,n=50)and research group(receiving self-made approach channel TU-LESS,n=50).The following indicators were compared between two groups,including operation time,intraoperative bleeding volume,postoperative anal exhaust time,intraoperative and postoperative complications,postoperative VAS score at 24 hours,the time to get out of bed after surgery,hospital stay and treatment costs.Results Compared with control group,postoperative VAS score and treatment cost significantly decreased,and the postoperative anal exhaust time,postoperative off-bed time and hospitalization time were significantly shortened in research group(P<0.05).The intraoperative bleeding volume was below 120 mL in both groups,but the amount of bleeding in research group was statistically more than that in control group(P<0.05).There was no significant difference in the operation time and the incidence of postoperative complications between control group and research group(P>0.05).Conclusion In the treatment of patients with benign gynecological diseases,the clinical application effect of self-made approach TU-LESS is definite and can effectively reduce the economic cost,improve postoperative recovery of patients.

关 键 词：经脐单孔腹腔镜手术 自制入路通道 传统多孔腹腔镜手术 妇科良性疾病 妇产科手术 

分 类 号：R713[医药卫生—妇产科学]