不同腹壁通道在单孔腹腔镜卵巢囊肿剔除术中的应用

Application of different abdominal access apparatus in single-site laparoscopic ovarian cystectomy

目的探讨三种不同腹壁通道在单孔腹腔镜卵巢囊肿剔除术中的临床应用价值。方法回顾性分析2014年7月至2015年6月北京协和医院普通妇科单孔腹腔镜下卵巢囊肿剔除术66例患者的临床资料。66名患者按所用腹壁通道的不同分为3组:18例应用TRIPORT(奥林巴斯,日本)腹壁通道;20例应用SILS(美敦力,美国)腹壁通道;28例应用HangtPort(北京航天卡迪)腹壁通道。比较在单孔腹腔镜卵巢囊肿剔除术中应用三种不同的腹壁通道的围手术期并发症、住院时间、疼痛、术后随诊时间以及腹壁通道放置时间和费用。结果在单孔腹腔镜卵巢囊肿剔除术中三种腹壁通道的围手术期并发症、住院时间、术后疼痛、随诊时间以及腹壁通道放置时间均无统计学差异(P>0.05);国产腹壁通道HangtPort价格更低(P=0.019)。结论三种不同腹壁通道在单孔腹腔镜卵巢囊肿剔除术中具有相似的临床应用价值,国产腹壁通道更具价格优势。

Objective：To explore the clinical application value of three kinds of abdominal access apparatus in single site laparoscopic ovarian cystectomy.Methods：The data of 66 patients with ovarian cyst in Department of Gynecology of Peking Union Medical College Hospital from July 2014 to June 2015 were retrospectively analyzed.According to the different abdominal access apparatus used,66 patients were divided into TRIPORT group,SILSPORT group and HangtPORt group.The perioperative complications,hospitalization time,pain,postoperative follow-up time,and time and cost of abdominal access were compared among the three groups.Results：There were no significant differences in perioperative complications,hospitalization time,pain,postoperative follow-up time,and the time of abdominal access（P〉0.05）.The device cost of HangtPort group was significant less than TRIPORT and SILSPORT group（P=0.019）.Conclusions：The three kinds of abdominal access apparatus have similar clinical application value in single site laparoscopic ovarian cystectomy.The price of domestic abdominal access apparatus takes significantly advantage over the others.