妇科免气单孔腹腔镜手术临床研究

Clinical study of single-hole and gas-less laparoscopy surgery in gynecology

摘要:

目的 探讨免气单孔腹腔镜技术治疗妇科疾病的可行性和安全性。方法 2010年12月~2012年12月，将妇科手术100例随机分为两组，A组免气单孔腹腔镜手术50例，B组免气三孔腹腔镜手术50例，比较两组的手术时间、术中出血量、术后肛门排气时间、术后住院时间、术后并发症、术后瘢痕形成及术后病率等。结果 A组镜下完成手术49例，需转多孔完成手术1例，成功率98.0%；B组完成手术50例，成功率100%，两者差异无显著性（P >0.05）。两组术中出血量、术后住院时间、术后肛门排气时间、术后病率差异无显著性（P >0.05），手术时间差异有显著性（P <0.05）。术后随访5～12个月，两组均无切口疝、切口感染等术后并发症发生。结论 妇科免气单孔腹腔镜手术有一定难度，手术时间延长，仍然是可以接受的，该手术具有效果肯定、安全可行、更美观且微创等优点。

Abstract:

【Objective】 To investigate the feasibility and safety of single-hole and gas-less laparoscopy surgery in the treatment of gynecological disease. 【Methods】 One hundred patients needed gynecological operation were randomly divided into two groups, 50 of which were treated by single-hole and gas-less laparoscopy surgery, and 50 cases were treated by triple-hole and gas-less laparoscopy surgery from December 2010 to December 2012. The clinical data, such as operation time, surgical bleeding, time of postoperative passage of gas by anus, duration of in-hospital, postoperative complications and the operation cost were analyzed. 【Results】 The success rates were 98.0% in the single-hole group with one case transferred multihole, and 100% in triple-hole group. There was no significant difference between two groups (P >0.05). The surgical bleeding, duration in-hospital, time of postoperative passage of gas and postoperative complications by anus were no significant difference between two groups (P >0.05). The operation time was significantly different between two groups (P <0.05). There was no postoperative complication, such as incisional hernia and postoperative infection in the two groups by 5~12 months follow-up. 【Conclusion】 Single hole and gas-less laparoscopy in the treatment of gynecological disease may be more difficult and longer operation time than triple-hole surgery, but with effective, safety, mini-invasion and good outlook, it would be more receivable.