目的:观察单孔腹腔镜在妇产科年轻女性患者中的应用效果。方法:选取2010年4月～2011年4月在辽宁医学院附属第三医院行腹腔镜下卵巢肿瘤剥除术、输卵管切除术、输卵管开窗术、盆腔粘连松解术及输卵管造口术的年轻患者75例,根据手术方法分为单孔腹腔镜组及传统腹腔镜组,对比两组平均手术时间、术中平均出血量、术后切口愈合情况及恢复情况。结果:两组平均手术时间及术中出血量比较,差异无统计学意义(P>0.05)。两组患者切口均甲级愈合,无脐疝发生。单孔组术后恢复排气时间平均为(21.0±5.7)h,传统组恢复排气时间平均为(24.0±6.0)h;单孔组明显短于传统组。结论:单孔腹腔镜手术不增加手术时间和术中出血量,术后疼痛减轻,能够尽早离床活动及恢复排气,减少了住院时间及费用,减少术后瘢痕,达到美容效果,值得临床推广。 Objective: To observe the effect of single hole laparoscopy in young female obstetrics and gynecology patients. Methods: From April 2010 to April 2011, the third affiliated hospital of Liaoning Medical College underwent laparoscopic ovarian tumor resection, tubal resection, fallopian tube salpingoplasty, pelvic adhesiolysis and tubal ostomy 75 cases of young patients were divided into single-hole laparoscopic group and traditional laparoscopic group according to surgical methods. The mean operative time, mean intraoperative blood loss, postoperative wound healing and recovery were compared between the two groups. Results: There was no significant difference between the two groups in average operation time and intraoperative blood loss (P> 0.05). Two groups of patients were grade A healing, umbilical hernia occurred. The average recovery time of gas evacuation in the single-hole group was (21.0 ± 5.7) h and that in the traditional group was (24.0 ± 6.0) h. The evacuation time in the single-hole group was significantly shorter than that in the conventional group. Conclusion: Single-hole laparoscopic surgery does not increase the operation time and blood loss, postoperative pain relief, as soon as possible to get out of bed activities and recovery of exhaust, reducing hospitalization time and costs, reduce postoperative scar, achieve cosmetic effect, it is worth clinical Promotion.