钢丝线悬吊法在妇科免气腹单孔腹腔镜手术中的临床应用

目的 探讨钢丝线悬吊法在妇科免气腹单孔腹腔镜手术中的应用。方法 回顾性分析2020年3月1日—2020年10月28日永康市第一人民医院收治的子宫病变患者（60例）和附件区病变患者（60例）的临床资料。A组：30例子宫病变患者+30例附件区病变患者行钢丝线悬吊法免气腹单孔腹腔镜手术，B组：剩余60例患者行传统腹腔镜手术。比较两组患者的手术情况、并发症及满意度。结果 A组手术时间、术中出血量、住院时间、术后肠道功能恢复时间、术后24 h视觉模拟评分低于B组（P <0.05）。A组患者术后总并发症发生率（5.00%）低于B组（21.67%）（P <0.05）。A组患者满意度（93.33%）高于B组（80.00%）（P <0.05）。结论 钢丝线悬吊法免气腹单孔腹腔镜手术有助于减轻手术创伤，促进患者术后恢复，疼痛度低，并发症少，患者满意度高，可在临床妇科相关疾病的治疗实践中推广应用。

The application of steel wire suspension in gynecological gasless single-port access laparoscopic surgery

Objective To investigate the application of steel wire suspension in gynecological gasless single-port access laparoscopic surgery.Methods The clinical data of 60 patients with uterine lesions and 60 patients with adnexal lesions treated in Yongkang First People''s Hospital from March 1, 2020 to October 28, 2020 were analyzed retrospectively. Among them, 30 patients with uterine lesions and 30 patients with adnexal lesions received gasless single-port access laparoscopic surgery with steel wire suspension (group A), while the remaining 60 patients received traditional laparoscopic surgery (group B). The surgery process, complications and patient satisfaction of the two groups were compared and analyzed.Results Compared with group B, the ooperative duration, intraoperative blood loss, length of hospital stay, the recovery time of intestinal function, Visual Analogue Scale (VAS) score at 24 h following the operation, length of hospital stay, and the recovery time of intestinal function were shorter, intraoperative blood loss was less, and VAS score at 24 h following the operation was lower in group A (P < 0.05). The overall incidence of postoperative complications in group A (5.00%) was lower than that in group B (21.67%) (P < 0.05). Besides, the patient satisfaction in group A (93.33%) was higher than that in the group B (80.005%) (P < 0.05).Conclusions Applying steel wire suspension to gasless single-port access laparoscopic surgery is conducive to reducing the surgical trauma, promoting postoperative recovery, relieving the pain, lowering the incidence of complications and improving patient satisfaction. Thus, it can be practiced in the treatment of gynecological diseases.