32例免气单孔腹腔镜子宫全切术患者疗效及安全性研究

Study on the curative effect and safety of single-port gasless total laparoscopic hysterectomy in 32 cases

目的探讨免气单孔腹腔镜在子宫全切术中的应用及临床效果。方法将64例行无气腹腔镜子宫全切及双侧输卵管切除患者随机分为两组,A组32例,行单孔免气腹腔镜子宫全切术及双侧输卵管切除术,B组32例,行常规4孔免气腹腔镜子宫全切术及双侧输卵管切除术,观察手术时间、术后下床活动时间、住院天数、出血量、肛门排气时间等结果。结果 32例患者均顺利完成手术,无改多孔孔或中转开腹。从术中情况来看,免气单孔腹腔镜较免气多孔腹腔镜平均手术时间稍长,差异有统计学意义(P<0.05),术后下床活动时间、住院天数、出血量、肛门排气时间比较,差异无统计学意义(P>0.05)。结论采用免气单孔腹腔镜进行子宫及双侧输卵管切除术是安全有效的。

Objective To explore the application and clinical effect of single-port gasless total laparoscopic hysterectomy.Methods Sixty-four patients were randomly divided into two groups： 32 patients in group A were treated by single-port gasless total laparoscopic hysterectomy and bilateral salpingectomy,and 32 patients in group B were treated by conventional four-port gasless total laparoscopic hysterectomy and bilateral salpingectomy. The operation time,postoperative activity time,hospitalization time,the amount of bleeding,and anal exhausting time were observed. Results The operation was completed successfully among the patients in group A without conversion to four-port gasless total laparoscopic hysterectomy or open laparotomy. The mean operation time in group A was statistically significantly longer than that in group B（ P〈0. 05）,but there was no statistically significant difference in postoperative activity time,hospitalization time,the amount of bleeding,and anal exhausting time between the two groups（ P〈0. 05）. Conclusion Single-port gasless total laparoscopic hysterectomy and bilateral salpingectomy are safe and effective.