摘要
目的比较经脐单孔腹腔镜与传统三孔腹腔镜卵巢囊肿剔除术的临床效果。方法选取2011年1月至2014年12月卵巢囊肿剔除患者100例,根据手术方式的不同分为经脐单孔腹腔镜组与传统三孔腹腔镜组各50例。分析比较两组患者的手术期指标、手术疗效和术后生活质量。结果两组患者中,传统三孔腹腔镜组平均手术时间较经脐单孔腹腔镜组短,差异有统计学意义(P<0.05)。两组术中失血量和切口长度差异均无统计学意义(P>0.05)。经脐单孔腹腔镜组术后VRS评分、伤口美观指数显著优于传统三孔腹腔镜组,差异有统计学意义(P<0.05)。传统三孔腹腔镜组住院时间短于经脐单孔腹腔镜组,差异有统计学意义(P<0.05)。术后并发症发生率两组差异无统计学意义(P>0.05)。结论腹腔镜治疗良性卵巢囊肿是安全可行的,且能明显减轻患者术后疼痛,并能达到更好的美容效果。
Objective To compare the clinical effect of transumbilical laparoendoscopic single-port surgery and the traditional three-port laparoscopy on the treatment of ovarian cystectomy.Methods 100 patients treated by ovarian cystectomy were selected from January 2011 to December 2014,and divided into transumbilical single-port laparoscopic group（n=50）and traditional three-port laparoscopic group（n=50）,according to the operation modes.The operation indexes,efficacy and postoperative quality of life in two groups were analyzed and compared.Results The average operation time of traditional three-port laparoscopic group was significantly shorter than that of transumbilical single-port laparoscopic group（P〈0.05）,and there were no significant differences of intraoperative blood losses and the lengths of incision between two groups（P〈0.05）.The postoperative VRS score and wound appearance of transumbilical single-port laparoscopic group were significantly better than those of traditional three-port laparoscopic group（P〈0.05）.The hospitalization time of traditional three-port laparoscopic group was significantly shorter than that of transumbilical single-port laparoscopic group（P〈0.05）.The incidences of postoperative complications of two groups were not statistically different（P〈0.05）.Conclusion Laparoscopy in the treatment of benign ovarian cyst is safe and feasible,and can obviously relieve postoperative pain and achieve better cosmetic effect.
出处
《检验医学与临床》
CAS
2015年第24期3648-3649,3652,共3页
Laboratory Medicine and Clinic
关键词
卵巢囊肿
经脐单孔腹腔镜
传统三孔腹腔镜
ovarian cyst
transumbilical single-port laparoscopic cholecystectomy
traditional three-port laparoscopic
