经脐单孔腹腔镜与传统腹腔镜治疗妇科良性疾病效果比较

Comparison of Laparoendoscopic Single-Site Surgery and Traditional Laparoscopic Surgery for Benign Gynecological Diseases

目的比较经脐单孔腹腔镜与传统腹腔镜治疗妇科良性疾病的临床效果。方法 选择2018年4—11月惠州市第六人民医院收治的有手术指征的妇科良性疾病患者140例,其中肌瘤或腺肌瘤31例,卵巢囊肿53例,异位妊娠56例。按手术方法不同分为观察组与对照组,每组70例。观察组采用经脐单孔腹腔镜手术治疗,对照组采用传统腹腔镜手术治疗,比较2组术中出血量、手术时间、术后肛门首次排气时间、术后住院时间、伤口疼痛程度及患者对瘢痕恢复满意度等情况。结果 2组术中出血量、术后肛门首次排气时间、术后住院时间比较差异无统计学意义(P>0.05);观察组手术时间较对照组显著增加(P<0.05),但伤口疼痛程度评分较对照组显著减少(P<0.05),患者对瘢痕恢复满意度较对照组显著升高(P<0.05)。结论 与传统腹腔镜相比,经脐单孔腹腔镜手术在减轻患者术后腹部伤口疼痛及改善瘢痕美观方面具有更大优势。

Objective To compare the effect of laparoendoscopic single-site surgery and traditional laparoscopic surgery on benign gynecological diseases.Methods From April to November 2018,140 patients with benign gynecological diseases(31 cases of fibroids/adenomyomas,53 cases of ovarian cysts,56 cases of ectopic pregnancy)were assigned to receive either laparoendoscopic single-site surgery(observation group,n=70)or traditional laparoscopic surgery(control group,n=70)in Huizhou Sixth People’s Hospital.The intraoperative blood loss,operative time,time to first flatus,hospital stay,wound pain degree and patient satisfaction with scar recovery were compared between the two groups.Results There were no significant differences in intraoperative blood loss,time to first flatus and length of hospital stay between the two groups(P>0.05).Compared with control group,operative time was prolonged,wound pain degree was reduced and patient satisfaction with scar recovery was increased in observation group(P<0.05).Conclusion Laparoendoscopic single-site surgery is superior to traditional laparoscopic surgery for decreasing postoperative wound pain and improving scar appearance.