基于技能与病情双评估下经脐单孔腹腔镜妇科手术的临床应用评价  

Clinical application evaluation of transumbilical single port laparoscopic gynecological surgery based on skill and condition dual evaluation

作　　者：习群 辛佳凌 万玉萍 张玮 XI Qun;XIN Jialing;WAN Yuping;ZHANG Wei(Department of Gynecology,Nanchang People's Hospital,Jiangxi Province,Nanchang330000,China;Department of Gynecology,Xinyu People's Hospital,Jiangxi Province,Xinyu338000,China)

机构地区：[1]南昌市人民医院妇科,江西南昌330000 [2]江西省新余市人民医院妇科,江西新余338000

出　　处：《中国当代医药》2024年第20期69-72,共4页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(202140072)。

摘　　要：目的研究基于技能与病情双评估的经脐单孔腹腔镜妇科手术的应用价值。方法选取2021年10月至2023年10月南昌市人民医院收治的56例妇科疾病手术治疗患者作为研究对象,随机数字表法分为对照组(n=28)和观察组(n=28)。对照组采用多孔腹腔镜手术,观察组采用基于技能与病情双评估的经脐单孔腹腔镜妇科手术。比较两组临床手术指标,比较两组治疗后24、48 h的疼痛[视觉模拟评分法(VAS)]评分,比较两组治疗前及治疗后48 h的生活质量[中文版简明健康状况调查量表(SF-36)]评分变化,观察两组并发症发生率及满意度。结果两组手术时间、术中出血量比较,差异无统计学意义(P>0.05),观察组术后首次下床时间、术后首次排气时间及住院时间均短于对照组,差异有统计学意义(P<0.05)。观察组治疗后24、48 h的VAS评分均低于对照组,差异有统计学意义(P<0.05),治疗后48 h的SF-36评分高于对照组,差异有统计学意义(P<0.05)。观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05)。观察组总满意度高于对照组,差异有统计学意义(P<0.05)。结论基于技能与病情双评估的采用经脐单孔腹腔镜妇科手术可提高治疗效果,促进术后恢复,降低疼痛感,提高生活质量,减少并发症风险,患者满意度高,值得推广。Objective To study the application value of single port laparoscopic gynecological surgery through the navel based on the dual evaluation of skill and condition.Methods Fifty-six patients with gynecological diseases undergoing surgical treatment in our hospital from October 2021 to October 2023 were selected as the study objects,and were divided into control group(n=28)and observation group(n=28)by random number table method.The control group underwent multi-hole laparoscopic surgery,and the observation group underwent transumbilical single-hole laparoscopic gynecological surgery based on dual assessment of skill and condition.The clinical surgical indicators of the two groups were compared,the(visual analogue scale[VAS])scores of the two groups were compared at 24 h and 36 h after treatment,and the quality of life(Chinese version of the Simple Health Survey Scale[SF-36])scores of the two groups were compared before treatment and 48 h after treatment,and the incidence of complications and satisfaction of the two groups were observed.Results There were no significant differences in operation time and intraoperative blood loss between the two groups(P>0.05).The first time of getting out of bed after surgery,the first postoperative exhaust time and the length of hospital stay in the observation group were shorter than those in the control group,with statistical significances(P<0.05).The VAS scores at 24 h and 48 h after treatment in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05),and SF-36 scores at 48 h after treatment were higher than those in the control group,the differences were statistically significant(P<0.05).The total incidence of complications in the observation group was lower than in the control group,and the difference was statistically significant(P<0.05).The total satisfaction of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The use of single por

关 键 词：技能 病情 双评估 经脐单孔腹腔镜妇科手术 生活质量 并发症 

分 类 号：R713[医药卫生—妇产科学]