单孔腹腔镜手术与传统腹腔镜手术治疗妇科疾病的近期疗效

The short-term efficacy of conventional laparoscopic surgery and laparoendoscopic single-site surgery applied in the treatment gynecology department disease

目的比较单孔腹腔镜与传统腹腔镜手术对异位妊娠、卵巢囊肿、子宫腺肌病患者的近期疗效,评估其临床应用价值。方法选取三门峡市中心医院2016年7月至2017年1月收治的符合标准的120例妇科疾病患者,采用随机数字表法分为U-LESS组和CLS组,每例60组,对比分析两者的平均住院时间、切口疼痛率、术后并发症危险程度等近期临床疗效。结果两组患者在年龄、体质量、身高、子宫大小、孕产次、疾病类型方面比较,差异均无统计学意义(P>0.05)。两组患者手术均顺利进行,U-LESS组的手术时间(52.7±10.1)min(t=1.221,P=0.225)、术中出血量(25.5±18.3)mL(t=1.542,P=0.126)、术后切口感染率1.7%(χ~2=0.26,P=0.61)及术后排气时间(19.7±3.8)h(t=1.88,P=0.063),与CLS组差异无统计学意义(均P>0.05);而平均住院时间(6.1±0.4)d(t=-17.652,P=0.001)、切口疼痛率5.0%(χ~2=4.23,P=0.04)、术后发生并发症4例(Z=2.546,P=0.011)比较,差异有统计学意义(均P<0.05),U-LESS组少于CLS组;结论单孔腹腔镜手术是一项安全、美观、有效的微创技术,值得在临床推广应用。

Objective To Compare of Short-term efficacy of laparoendoscopic single-site cysts,adenomyoma diseases,which assess of their clinical application value. Methods Selecting 120 cases of Gynecological disease patients which meet the standard from July2016 to January 2017,these patients are divided into U-LESS group and CLS group according to the principle of random. the use of randomly divided into U-LESSgroup and CLS group,60 cases of each group. To analyze the operative efficacy of the two groups which include average time of hospitalization,incision pain and the risk of postoperative complications and so on. Results The operation go smoothly of the two groups,the difference is not statistically significant（ P〈0. 05） in comparition of operative time（ 57. 7 ± 10. 1）min（ t = 1. 221,P = 0. 225）,intraoperative blood loss（ 25. 5 ± 18. 3） mL（ t = 1. 542,P = 0. 126）,postoperative incision infection 1. 7%（ χ^2= 0. 26,P = 0. 61） and postoperative exhaust time（ 19. 7 ± 3. 8） h（ t = 1. 88,P = 0. 063）. However,the difference is statistically significant（ P〈0. 05） in the average time of hospitalization（ 6. 1 ± 0. 4） d（ t =-17. 652,P = 0. 001）,incision pain 5. 0%（ χ^2=4. 23,P = 0. 04） and postoperative complications in 4 cases（ Z = 2. 546,P = 0. 011）,which U-LESS group are less than CLS group.Conclusions U-LESS is worthy of clinical application,which is a safe,artistic,and effective minimally invasive technique.