单孔与传统腹腔镜行子宫肌瘤挖除术临床疗效的研究

Efficacy of myomectomy via transumbilical laparoendompic single-site surgery and traditional multiport laparoscopy

目的比较单孔腹腔镜手术(TU-LESS)与传统腹腔镜手术行子宫肌瘤挖除术的临床疗效。方法纳入成都市西区医院2019年6月至2020年6月期间住院行子宫肌瘤挖除术患者,采用TU-LESS治疗的为TU-LESS组,采用传统腹腔镜手术治疗的为常规腹腔镜组,各组纳入50例患者进行对比。比较两组患者手术一般情况、术后额外使用止痛剂情况、术后VAS评分、术后患者满意度。结果两组患者年龄、BMI、肌瘤大小、手术时间无统计学差异(P>0.05)。两组患者术后肛门排气时间、术中出血量、术后并发症发生率和住院费用差异均无统计学意义(P>0.05),但TU-LESS组住院时间更短,术后1、3、7天VAS评分更低,术后0、1天需要额外止痛剂更少,患者满意度更高,差异均有统计学意义(P<0.05)。结论TU-LESS行子宫肌瘤挖除术与常规腹腔镜手术疗效相近,且术后疼痛更轻、住院时间更短、患者满意度更高。

Objective To evaluate the efficacy of myomectomy via transumbilical laparoendompic single-site surgery(TU-LESS)and traditional multiport laparoscopy.Methods The study was conducted at Chengdu Western Hospital from June 2019 to June 2020.Fifty patients underwent TU-LESS myomectomy(TU-LESS group),while another50 patients underwent traditional multiport laparoscopic myomectmy(multiport laparoscopy group).The conditions of operation,extra analgetic usage,VAS grade,and patients’satisfaction degree were compared between two groups.Results Patients in both groups had similar age,BMI,fibroma volume,operative time,expelling gas day,blood loss,complication rate,and hospitalized costs(P>0.05).Compared with traditional multiport laparoscopy,the TU-LESS group resulted in significantly shorter hospitalization day,lower VAS score of the 1 st/3 nd/7 th days after surgery,less use of analgetic after surgery,and higher satisfaction degree.Conclusions TU-LESS is safe and feasible for myomectomy,and it is associated with less pain,shorter hospitalization day,and higher satisfaction degree.