| 摘要: |
| ［摘要］ 目的 观察经脐单孔腹腔镜全子宫切除术治疗子宫良性疾病的有效性及安全性。方法 回顾性分析福建医科大学附属龙岩第一医院2019年7月至2020年5月因子宫良性疾病，施行腹腔镜下全子宫切除术的80例患者的临床资料，根据手术方法的不同将患者分为传统腹腔镜组和单孔腹腔镜组，每组40例。比较两组手术时间、术中出血量、术后1 d视觉模拟（VAS）评分、住院费用、术后住院时间及术后并发症发生情况。结果 两组患者在术中出血量、术后住院时间、术后并发症比较差异均无统计学意义（P>0.05）。单孔腹腔镜组手术时间长于传统腹腔镜组，差异有统计学意义（P<0.05）。单孔腹腔镜组术后1 d的VAS评分低于传统腹腔镜组（P<0.05），住院费用高于传统腹腔镜组（P<0.05）。结论 经脐单孔腹腔镜在妇科子宫良性疾病全子宫切除术中具有术后创口微创，疼痛感轻的优点，值得推广。 |
| 关键词: 单孔腹腔镜 传统腹腔镜 全子宫切除术 子宫良性疾病 |
| DOI：10.3969/j.issn.1674-3806.2021.08.16 |
| 分类号:R 713.4+2 |
| 基金项目: |
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| Effect of transumbilical single-port total laparoscopic hysterectomy on treatment of benign uterine diseases |
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WANG Fan, WANG Jin-yong, CHEN Fu-chun, et al.
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Department of Gynecology, Longyan First Hospital Affiliated to Fujian Medical University, Fujian 364000, China
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| Abstract: |
| ［Abstract］ Objective To observe the effectiveness and safety of transumbilical single-port total laparoscopic hysterectomy in treatment of benign uterine diseases. Methods The clinical data of 80 benign uterine disease patients receiving total laparoscopic hysterectomy in Longyan First Hospital Affiliated to Fujian Medical University from July 2019 to May 2020 were retrospectively analyzed. The patients were divided into traditional total laparoscopic hysterectomy(LTH) group and single-port laparoscopy(SPL) group according to different operation methods, with 40 cases in each group. The operative time, intraoperative blood loss, Visual Analogue Scale(VAS) scores on the first day after operation, hospital costs, postoperative hospital stay and postoperative complications were compared between the two groups. Results There were no significant differences in intraoperative blood loss, postoperative hospital stay and postoperative complications between the two groups(P>0.05). The operative time of the SPL group was longer than that of the traditional LTH group, and the difference was statistically significant(P<0.05). The VAS scores on the first day after operation in the SPL group were lower than those in the traditional LTH group(P<0.05). The hospital costs in the SPL group were higher than those in the traditional LTH group(P<0.05). Conclusion Transumbilical single-port total laparoscopic hysterectomy has the advantages of postoperative minimally invasive wound and less pain in treatment of benign uterine diseases, and has a good application value. |
| Key words: Single-port laparoscopy(SPL) Traditional laparoscopy Total laparoscopic hysterectomy(LTH) Benign uterine diseases |
