摘要
目的探讨单操作孔悬吊式腹腔镜在子宫肌瘤剔除术中的应用价值。方法随机选取行腹腔镜下子宫肌瘤剔除术的患者39例,其中行单操作孔悬吊式腹腔镜下子宫肌瘤剔除术者18例,行气腹腹腔镜子宫肌瘤剔除术者21例。对两组患者在手术时间、术中失血量、术后体温恢复时间、术后排气时间、术后并发症及术后住院时间等方面进行比较。结果单操作孔悬吊式腹腔镜组最大肌瘤直径大于气腹腹腔镜组(P<0.05),手术时间、术中失血量均少于气腹腹腔镜组(P<0.05),两组在术后体温恢复时间、术后排气时间和术后住院时间方面差异无显著性(P>0.05)。18例行单操作孔悬吊式腹腔镜下子宫肌瘤剔除术者,7例于术中发现术前B超或镜下未探及的肌瘤结节共12个,予以剔除。结论应用单操作孔悬吊式腹腔镜行子宫肌瘤剔除术在缩短手术时间、减少术中失血量及彻底剔除肌瘤方面较气腹腹腔镜具有明显优势。
[Objective] To evaluate the value of gasless laparoscopic myomectomy using lifting device by one-trocar hole.[Methods] 39 cases with laparoscopic myomectomy were chosen randomly.Among them,there were 18 cases with gasless laparoscopic myomectomy,21 cases with pneumoperitoneum laparoscopic myomectomy.[Results] There were great difference between the two groups both on the operation time and the blood loss（P〈0.05）.Using gasless laparoscopic myomectomy had shorter operation time and less blood loss.And the longest diameter of myoma in gasless laparoscopic myomectomy was longer than another group（P〈0.05）.No difference was found between the two groups on the recovery time of body temperature and gastrointestinal function and hospital stay.Among 18 cases with gasless laparoscopic myomectomy,12 myomas that were not found by ultrasound examination or by laparoscopy without thigmesthesia of 7 cases had been removed during the operation.[Conclusion] Compared with pneumoperitoneum laparoscopic myomectomy,gasless laparoscopic myomectomy has shorter operation time and less blood loss,and radical clearance.
出处
《中国内镜杂志》
CSCD
北大核心
2011年第6期611-614,共4页
China Journal of Endoscopy
