疝针辅助减孔腹腔镜下附件切除术治疗附件良性病变效果分析

Analysis of the effect of hernia needle-assisted less-porous laparoscopic adnexectomy for treating patients with benign adnexal lesions

目的:探讨疝针辅助减孔腹腔镜下附件切除术治疗附件良性病变患者的临床效果。方法:选择2019年1月-2021年1月在本院接受手术治疗的附件良性病变患者124例,按手术术式不同分组,对照组(62例)接受经脐单孔腹腔镜手术治疗,观察组(62例)接受疝针辅助减孔腹腔镜手术治疗,比较两组围手术期指标、术后疼痛情况、并发症及手术满意度等指标。结果:两组术中出血量、术后排气时间及住院时间、术后1月疤痕美容评估定量表评分(2.35±0.36分、2.42±0.38分)均无差异(P>0.05);观察组手术时间(42.3±5.5min)、术后24h及48h疼痛视觉模拟评分量表评分(4.54±1.75分、2.71±0.83分)、治疗费用(1.07万±0.20万)及总并发症发生(6.5%)均低于对照组(58.8±7.3min、5.86±1.91分、3.44±1.15分、1.35万±0.27万、19.4%),治疗满意度评分(9.15±1.31分)高于对照组(8.37±1.24分)(均P<0.05)。结论:疝针辅助减孔腹腔镜技术治疗附件良性病变效果满意,有助于减少手术时间、减轻术后疼痛、降低并发症发生率,术后腹部美观,降低治疗费用,患者满意度提高。

Objective: To explore the clinic effect of hernia needle-assisted less-porous laparoscopic adnexectomy for treating patients with benign adnexal lesions. Methods: 124 patients with benign adnexal lesions admitted to hospital for operation were selected and were divided into two groups(62 cases in each group) according to different the surgical methods from January 2019 to January 2021. The patients in the control group had received transumbilical laparoscopic single-port technique, and the patients in the observation group had received hernia needle-assisted less-porous laparoscopic adnexectomy. The perioperative indicators, the situations of post-operative pain, the complication, and the operative satisfaction of the patients were compared between the two groups. Results: There were no significant differences in the intraoperative blood loss, the postoperative exhaust time, the hospital stay, and the scar beauty assessment scale scores(2.35±0.36points vs.2.42±0.38points) of the patients between the two groups(P>0.05). The operation time(42.3±5.5min), the pain visual analog scale score(4.54±1.75 points, 2.71±0.83points) at postoperative 24h and 48h, the treatment cost(10,700±2,000yuan), and the total complications rate(6.5%) of the patients in the observation group were significantly lower than those(58.8±7.3min, 5.86±1.91points, 3.44±1.15points, 13,500±2,700yuan, and 19.4%) of the patients in the control group. The treatment satisfaction score(9.15±1.31points) of the patients in the observation group was significantly higher than that(8.37±1.24 points) of the patients in the control group(all P<0.05). Conclusion: The effect of hernia needle-assisted less-porous laparoscopic technique for treating the patients with benign appendix lesions is satisfactory, which helps to reduce the operation time, the postoperative pain, and the occurrence of complications of the patients, the abdomen incision of the patients is beautiful, the treatment cost of the patients has decreased,and the satisfaction of the patients has increased.