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目的 分析改良单孔腹腔镜在青年女性附件疾病手术中的方法及效果.方法 总结2010年8月至2013年8月郑州大学人民医院收治32例青年女性患者,均行改良经脐单孔腹腔镜手术.结果 32例患者中1例因腹腔炎性粘连重行常规腹腔镜手术,其余均顺利行单孔腹腔镜手术,无中转开腹病例.6例异位妊娠患者中5例行输卵管开窗取胚术,1例行输卵管切除术;卵巢囊肿患者均行囊肿剔除术.结论 改良单孔腹腔镜的微创化及无瘢痕化效果更能体现对青年女性的人文关怀理念,具有极大的临床推广价值.“,”Objective To analyze the methods and effects of modified laparoendoscopic singlesite surgery in adnexal diseases on young female patients.Methods To summarize the 32 young female patients who were operated by modified laparoendoscopic singlesite surgery from July 2008 to July 2011 in our department.Results Of the 32 patients,1 case was changed to conventional laparoscopic surgery because of the peritoneal inflammatory adhesio,and the others completed modified laparoendoscopic singlesite surgery.Among the 6 ectopic pregnancy patients,5 cases were operated by fenestration of taking embryo and 1 case was operated by salpingectomy.Patients with ovarian cyst were operated by cystectomy.Conclusions The minimal invasion and no scar effect of modified laparoendoscopic singlesite surgery can reflect the concept of humanistic care to young women,and has a great clinical value.