经脐单孔腹腔镜治疗妇科良性疾病分析

Analysis on gynecological benign diseases treated by transumbilical single-hole laparoscope

目的结合宁夏医科大学总医院妇科经脐单孔腹腔镜手术的开展情况,探讨其在妇科微创领域中应用的可行性。方法选取经脐单孔腹腔镜下完成的妇科良性疾病手术共600例,与同期开展的传统的多孔腹腔镜手术836例进行对比。结果手术均顺利完成。手术时间,单孔腹腔镜下卵巢肿瘤剥除术、子宫肌瘤剔除术和输卵管卵巢切除术患者手术时间明显长于同期多孔组,差异有统计学意义(P<0.05),其他组无统计学意义;出血量,经脐单孔腹腔镜下输卵管切除术、卵巢肿瘤剥除术、输卵管卵巢切除术及盆腔粘连松解术患者明显多于同期多孔组,差异有统计学意义(P<0.05);住院天数,单孔子宫肌瘤剔除术、盆腔粘连松解术及输卵管卵巢切除术患者明显短于同期多孔组,差异有统计学意义(P<0.05);术后排气时间,单孔腹腔镜下盆腔粘连松解术及输卵管切除术明显短于同期多孔组,差异有统计学意义(P<0.05)。结论传统多孔腹腔镜下能完成的输卵管、卵巢、子宫、盆腔粘连的各类妇科良性手术,经脐单孔腹腔镜下均能够完成,尤其在术后住院天数及排气时间方面有优势,但需严格把握手术适应症。

Objective To explore the feasibility of its utilization in the field of minimally invasive gynecology by the study on the practice situation of gynecological single-hole laparoscopic surgery in the General Hospital of Ningxia Medical University.Methods A total of 600 cases of gynecological benign diseases operation by transumbilical single-port surgery and compared with 836 cases of surgeries performed with the traditional multi-port method.Results All cases of operation were performed successfully.Compared with the operation time,the operation time of patients with single-hole laparoscopic ovarian tumor exfoliation,hysteromyomectomy and salpingo-ovariectomy was significantly longer than that of the porous group(P<0.05).Compared with other groups,the lost blood of patients was much more than that in the multi-hole group,with statistically significant difference.Compared with the hospitalization time,patients with single-hole hysteromyomectomy,pelvic adhesion release and salpingo ovariectomy were significantly shorter than those in the multi-hole group(P<0.05).Compared with the postoperative exhaust time,the single-hole laparoscopic pelvic adhesion release and salpingectomy were significantly shorter than that of the simultaneous porous group(P<0.05).Conclusion All kinds of gynecological benign surgeries performed by conventional multi-port laparoscopy can also be conducted by the single-port laparoscopic surgeries,but the surgical indications should be strictly controlled.