经脐单孔腹腔镜技术在全子宫切除手术中的效果分析

Analysis of the Effect of Transumbilical Single-hole Laparoscopic Technique in Total Hysterectomy

目的比较经脐单孔腹腔镜子宫切除术与常规腹腔镜子宫切除术在子宫疾病治疗中的效果,评价经脐单孔腹腔镜子宫切除术的临床价值。方法方便选择2017年4月—2019年4月该院收治的100例子宫疾病患者,随机分为实验组50例和对照组50例,实验组采用经脐单孔腹腔镜全子宫切除术治疗,对照组采用传统多孔腹腔镜手术治疗,比较两组的手术情况、术后并发症、满意度和术后疼痛情况。结果实验组和对照组的手术时间和出血量差异无统计学意义(P>0.05)。实验组住院时间和术后排气时间相较对照组缩短,差异有统计学意义(P<0.05)。实验组术后并发症发生率为6.0%,对照组的8.0%,差异无统计学意义(χ^2=0.154,P=0.695)。实验组的满意度得分(90.9±2.1)分高于对照组(85.9±1.5)分,差异有统计学意义(t=13.700,P<0.05)。VAS得分低于(1.56±0.87)分,高于对照组(2.77±0.45)分,差异有统计学意义(t=8.735,P<0.05)。结论经脐单孔腹腔镜子宫切除术在手术时间及术中出血及并发症方面较多孔腹腔镜无显著差异,在住院时间、术后排气时间、术后疼痛感减少、患者满意度、切口美观方面显著优于传统腹腔镜。

Objective To compare the effect of umbilical single-hole laparoscopic hysterectomy and conventional laparoscopic hysterectomy in the treatment of uterine diseases,and to evaluate the clinical value of umbilical single-hole laparoscopic hysterectomy.Methods Convenient selection of 100 patients with uterine diseases admitted from April 2017 to April 2019 in our hospital were randomly divided into an experimental group of 50 and a control group of 50.The experimental group was treated with umbilical single-hole laparoscopic hysterectomy.The control group was treated with traditional porous laparoscopic surgery.The surgical conditions,postoperative complications,satisfaction and postoperative pain were compared between the two groups.Results There was no significant difference in the operation time and bleeding volume between the experimental group and the control group.Compared with the control group,the hospitalization time and postoperative exhaust time of the experimental group were shortened,and the difference was statistically significant(P<0.05).The incidence of postoperative complications in the experimental group was 6.0%,and the control group was 8.0%,the difference was not statistically significant(χ^2=0.154,P=0.695).The satisfaction score of the experimental group(90.9±2.1)points was higher than that of the control group(85.9±1.5)points,the difference was statistically significant(t=13.700,P<0.05).The VAS score was lower than(1.56±0.87)points and higher than the control group(2.77±0.45)points,the difference was statistically significant(t=8.735,P<0.05).Conclusion Transumbilical laparoscopic hysterectomy has no significant difference in operative time,intraoperative bleeding and complications,and is significantly better than traditional laparoscopic hysterectomy in terms of hospital stay,postoperative exhaust time,postoperative pain reduction,patient satisfaction and incision aesthetics.