常规腹腔镜器械行经脐单孔腹腔镜手术治疗妇科良性疾病可行性研究

Feasibility Study of Transumbilical Single Port Laparoscopic Surgery with Conventional Laparoscopic Instruments for the Treatment of Benign Gynecological Diseases

目的研究常规腹腔镜器械行经脐单孔腹腔镜手术治疗妇科良性疾病可行性。方法选取2018年10月—2019年10月该院收治的96例妇科良性疾病需行手术治疗者为研究对象,对照组常规腹腔镜多孔操作,观察组经脐单孔腹腔镜手术治疗;比较两组临床各项指标、术后疼痛及术后美观度满意度。结果术后3个月,观察组外观满意度高于对照组,差异有统计学意义(χ^(2)=9.524,P=0.002)。观察组手术时间(59.02±4.63)min、术中出血量(37.11±4.92)mL、住院时间(5.02±0.05)d与对照组比较,差异有统计学意义(t=11.683、8.197、54.689,P<0.05);观察组患者在术后6 h的疼痛VAS评分为(2.18±0.14)分,及术后3 d疼痛VAS评分为(2.04±0.91)分,均低于对照组的(2.59±0.63)分和(2.51±0.42)分,差异有统计学意义(t=4.401、3.249,P<0.05);观察组术后3个月患者SF-36评分高于对照组,差异有统计学意义(t=21.431、15.326、15.627、18.740、17.830、23.654、21.000、20.265,P<0.05)。结论常规腹腔镜器械行经脐单孔腹腔镜手术治疗妇科良性疾病具有可行性,降低术后疼痛,缩短住院时间,术后美观度大大提高,满足女性爱美的心理。

Objective To study the feasibility of transumbilical single port laparoscopic surgery with conventional laparoscopic instruments for the treatment of benign gynecological diseases.Methods 96 cases of benign gynecological diseases requiring surgical treatment in the hospital from October 2018 to October 2019 were selected as the research objects.The control group was treated with conventional laparoscopic multi hole operation,and the observation group was treated with umbilical single hole laparoscopic operation.The clinical indexes,postoperative pain and postoperative aesthetic satisfaction were compared between the two groups.Results 3 months after the operation,the appearance satisfaction degree of the observation group was higher than that of the control group,and the difference was statistically significant(χ^(2)=9.524,P=0.002).The operation time(59.02±4.63)min,intraoperative blood loss(37.11±4.92)mL,and hospitalization time(5.02±0.05)d of the observation group were different from those of the control group,and the difference was statistically significant(t=11.683,8.197,54.689,P<0.05);in the observation group,the pain VAS score at 6 h after surgery was(2.18±0.14)points,and the pain VAS score at 3 d after surgery was(2.04±0.91)points,both were lower than the(2.59±0.63)points and(2.51±0.42)points of the control group,and the difference was statistically significant(t=4.401,3.249,P<0.05);the SF-36 scores of patients in the observation group were higher than those in the control group at 3 months after operation,and the difference was statistically significant(t=21.431,15.326,15.627,18.740,17.830,23.654,21.000,20.265,P<0.05).Conclusion It is feasible to treat gynecological benign diseases with conventional laparoscopic instruments through single port laparoscopic surgery,reduce postoperative pain,shorten hospitalization time,greatly improve postoperative aesthetics,and satisfy women’s desire for beauty.