妇科良性疾病经脐单孔腹腔镜手术后疼痛程度与美观效果研究

The postoperative pain levels between transumbilical single-port laparoscopic surgery and multi-port laparoscopic surgery for benign gynecological diseases

目的分析经脐单孔腹腔镜手术(transumbilical single-port laparoscopic surgery,SPLS)与多孔腹腔镜手术(multi-port laparoscopic surgery,MPLS)治疗妇科良性疾病术后疼痛程度的比较和切口满意度的情况。方法分析石家庄市第四医院2020年1月至2021年1月收治的238例妇科良性疾病患者的临床资料,按手术方法将患者分为SPLS组(n=119)和MPLS组(n=119)。比较两组临床指标、术后12 h、24 h视觉模拟(visual analogue scale,VAS)评分、自我评价焦虑量表(self-assessment anxiety scale,SAS)评分和对切口美观的满意度。结果SPLS组肛门排气时间和住院时间均短于MPLS组,SPLS组术后12 h、24 h VAS评分、SAS评分均低于MPLS组(均P<0.05)。SPLS组切口美观总满意度为97.06%(115/119),高于MPLS组的76.47%(91/119),差异有统计学意义(P<0.05)。结论与MPLS相比,SPLS用于治疗妇科良性疾病可减轻术后疼痛,提高治疗满意度。

Objective To analyze the comparison of postoperative pain level and incision satisfaction between transumbilical single-port laparoscopic surgery(SPLS)and multi-port laparoscopic surgery(MPLS)in the treatment of benign gynecological diseases.Methods The clinical data of 238 patients with benign gynecological diseases admitted to Shijiazhuang Maternity Hospital from Jan.2020 to Jan.2021 were analyzed,and the patients were divided into SPLS group(n=119)and MPLS group(n=119)according to the surgical method.The clinical indicators,visual analogue scale(VAS)score,self-assessment anxiety scale(SAS)and satisfaction with incision aesthetics at 12 hours and 24 hours after operation were compared between the two groups.Results The anal exhaust time and hospital stay in the SPLS group were shorter than those in the MPLS group,and the VAS scores and SAS scores in the SPLS group at 12 hours and 24 hours after operation were lower than those in the MPLS group(all P<0.05).The overall satisfaction with the aesthetic appearance of the incision in the SPLS group was 97.06%(115/119),which was higher than that in the MPLS group,which was 76.47%(91/119),with a statistically significant difference(P<0.05).Conclusion Compared with MPLS,the treatment of benign gynecological diseases with SPLS can reduce postoperative pain and increase treatment satisfaction.