目的探讨经脐单孔腹腔镜技术在妇科常见手术中应用效果。方法以同期24例常规腹腔镜组为对照,对比分析12例经脐单孔腹腔镜妇科手术的临床资料。结果2组患者均在腹腔镜下顺利完成手术,未发生中转开腹。单孔腹腔镜组手术时间(53.83±5.20)min显著长于常规腹腔镜组手术时间(32.26±5.38)min(P〈0.05);2组患者术中出血量、术后排气时间、住院时间和住院总费用差异均无统计学意义(P〉0.05);分别于术后1、2、3个月进行随访,2组患者均无并发症发生。单孔腹腔镜组脐部穿刺口被皮肤自然皱褶掩盖,无明显瘢痕,美容效果良好。结论经脐单孔腹腔镜技术表现出创伤小、伤口隐蔽、美容效果好、术后并发症低等优势。
Objective To discuss the application effect and experiences of trans - umbilical laparoscope single - site surgery in common gynecological procedures. Methods 24 cases of conventional laparoscopic surgery as controls, 12 cases of trans - umbilical laparoscope single - site surgery were analyzed. Results The procedures were completed smoothly in both group. And the mean opera- tion time of trans - umbilical laparoscope single - site surgery group (53.8 ± 5.20) min was significant longer than that in controls (32.26 ±5.38 ) (P 〈 0.05 ). Whereas, there no significant difference was observed in blood loss ( P 〉 0.05 ), recovery time of gastro- intestinal function ( P 〉 0. 05 ), hospital stay ( P 〉 0. 05 ), and total cost of hospitalization ( P 〉 0. 05 ) between two groups. Conclusion As a new operation method, it causes fewer traumas to patients and achieves satisfied clinical and cosmetic effect.Objective To discuss the application effect and experiences of trans - umbilical laparoscope single - site surgery in common gynecological procedures. Methods 24 cases of conventional laparoscopic surgery as controls, 12 cases of trans - umbilical laparoscope single - site surgery were analyzed. Results The procedures were completed smoothly in both group. And the mean opera- tion time of trans - umbilical laparoscope single - site surgery group (53.8 ± 5.20) min was significant longer than that in controls (32.26 ±5.38 ) (P 〈 0.05 ). Whereas, there no significant difference was observed in blood loss ( P 〉 0.05 ), recovery time of gastro- intestinal function ( P 〉 0. 05 ), hospital stay ( P 〉 0. 05 ), and total cost of hospitalization ( P 〉 0. 05 ) between two groups. Conclusion As a new operation method, it causes fewer traumas to patients and achieves satisfied clinical and cosmetic effect.