摘要
目的探讨经脐单孔腹腔镜妇科手术的可行性及疗效。方法选取我院2011年1月至2012年8月妇科手术病例共97例,将其随机分成两组,A组47例选择经脐单孔腹腔镜完成,B组50例选择传统多孔腹腔镜下完成,比较两组手术时间、术中出血量、术后排气时间及术后离床活动时间、术后镇痛剂使用率。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),A组术后肛门排气时间、术后离床时间均短于B组,A组术后止痛药使用率低于B组,两组比较,其差异均具有统计学意义(P<0.05)。结论如选择合适的病例,单孔腹腔镜妇科手术是可行的,与传统多孔腹腔镜手术相比,其具备更美容、更微创的优点。
Objective To study the feasibility and efficacy of single-port transumbilical laparoscopic gynecological surgery. Methods In our hospital from January 2011 to August 2012, 97 cases of gynecological surgery were randomly divided into two groups. Group A （n=47） applied single-port transumbilical laparoscopic surgery, group B （n=50） used traditional porous laparoscopic surgery. The operation time, blood loss, postoperative exhaust time and time offthe bed, postoperative analgesic usage were compared between the two groups. Results There was no statistically significant difference between the groups in the operation time, blood loss （P〉0.05）. The anal exhaust time and time off the bed in group A were shorter than those in group B, and the postoperative analgesic use in group A was lower than that in group B, with statistically significant difference between the two groups （P〈0.05）. Conclusion Single-port transumbilical laparoscopic gynecological surgery is feasible for appropriate cases, with more bcantiful and invasive advantages than traditional porous laparoscopic surgery.
出处
《海南医学》
CAS
2013年第11期1685-1687,共3页
Hainan Medical Journal
关键词
单孔
腹腔镜
妇科
Single-hole
Laparoscopic
Gynaecology
