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目的:探讨经脐单孔腹腔镜手术在良性妇科附件疾病治疗中的应用价值。方法:收集佛山市高明区人民医院2014年8月至2015年8月48例妇科附件良性病变行经单孔腹腔镜手术患者分为观察组,按不同分为卵巢组和输卵管组比较两组患者的手术效果、手术时间以及术后并发症的情况。结果:两组患者手术均获成功,两组患者单孔腹腔镜手术时间长〔单侧卵巢成熟性畸胎瘤/浆液性囊腺瘤剥除术:(51.5±10.8)min/(47.3±9.4)min;输卵管整形术:(32.3±7.6)min/(15.7±5.3)min;输卵管切除术:(34.1±5.2)min/(14.4±3.5)min;输卵管开窗取胚术:(29.6±7.2)min/(16.5±5.7)min〕组间比较,差异具有统计学意义(P<0.05)。两组患者术中出血量(15.5±10.5)m L/(18.4±12.2)m L、排气时间(10±4.58)h/(8±1.08)h、住院时间(3.5±0.9)d/(3.8±0.8)d和术后发病率8例/7例,差异均无统计学意义(P>0.05);观察组与对照组患者术后随访6个月,均无切口疝等并发症发生,美容满意度比较,观察组、对照组分别为96%、85%,差异具有统计学意义(P<0.05)。结论:经脐单孔腹腔镜手术规范化操作治疗良性妇科附件疾病较传统腹腔镜手术更具明显优势,获得更为理想的美容效果,其手术安全可行。
Objective: To investigate the value of transumbilical single-hole laparoscopic surgery in the treatment of benign gynecological diseases. Methods: A total of 48 patients with benign gynecologic appendages undergoing single-hole laparoscopic surgery in Gaoming District People’s Hospital of Foshan from August 2014 to August 2015 were divided into observation group, divided into ovarian group and fallopian tube group according to different groups Surgical results, operation time and postoperative complications. RESULTS: Surgery was successful in both groups, with long-term single-hole laparoscopic surgery in both groups [unilateral ovarian maturation teratoma / serous cystadenoma removal: (51.5 ± 10.8) min / (47.3 ± 9.4 ) tubal surgery: (32.3 ± 7.6) min / (15.7 ± 5.3) min; tubal resection: (34.1 ± 5.2) min / (14.4 ± 3.5) min; ) min / (16.5 ± 5.7) min], the difference was statistically significant (P <0.05). The blood loss in the two groups was 15.5 ± 10.5 m L / (18.4 ± 12.2) m L, the time of exhausting was (10 ± 4.58) h / (8 ± 1.08) h and the length of hospital stay was (3.5 ± 0.9) d / 3.8 ± 0.8) d and postoperative incidence of 8 cases / 7 cases, the difference was not statistically significant (P> 0.05); observation group and control group patients were followed up for 6 months, no incision hernia and other complications occurred, Compared with the cosmetic satisfaction, the difference between the observation group and the control group was 96% and 85%, respectively (P <0.05). Conclusion: The standardized operation of benign gynecological accessory diseases by umbilical single hole laparoscopic operation has more obvious advantages than traditional laparoscopic surgery, and obtains a more ideal cosmetic effect. The operation is safe and feasible.