经脐单孔腹腔镜与传统腹腔镜治疗妇科良性疾病的对比研究

目的通过经脐单孔腹腔镜与传统腹腔镜手术的对比研究，探讨经脐单孔腹腔镜手术在妇科良性疾病治疗中的应用价值。 方法2016年11月至2018年1月在中国航天科工集团七三一医院及河北医科大学第二医院妇科收治的80例妇科良性疾病的患者，根据手术方式分为经脐单孔腹腔镜手术组及传统腹腔镜手术组，每组40例，对两组的手术时间、术中出血量、中转开腹率、术后排气时间、疼痛评分、住院时间、并发症进行比较。 结果两组手术均成功，无中转开腹手术，随访至术后1年未发生并发症。两组的术中出血量、术后排气时间、住院时间相比，差异无统计学意义(P>0.05)；单孔腹腔镜手术组的手术时间长于传统腹腔镜手术组(111.00±54.90)min比(79.67±42.45)min]，差异有统计学意义(P<0.05)；但单孔腹腔镜手术组术后3 d疼痛的视觉模拟评分低于传统腹腔镜手术组(2.6±0.92)分比(2.0±0.98)分]，差异有统计学意义(P<0.05)。 结论经脐单孔腹腔镜手术微创、安全可行，相较于传统腹腔镜手术能够明显减轻术后疼痛。

A comparative study of transumbilical laparoscopic single site surgery and traditional laparoscopy in the treatment of gynecological benign diseases

ObjectiveThrough the comparative study of transumbilical laparoscopic single site surgery and traditional laparoscopy surgery, to explore the application value of transumbilical laparoscopic single site surgery in the treatment of gynecological benign diseases. MethodsFrom Nov. 2016 to Jan. 2018, 80 patients with benign gynecological diseases were treated in the 731 Hospital of China Aerospace Science and Industry Corporation and the Second Hospital of Hebei Medical University. According to the surgical method, the patients were divided into two groups: transumbilical laparoscopic single site surgery group (n=40) and traditional laparoscopic surgery group (n=40). The operation time, intraoperative blood loss, conversion rate, postoperative exhaust time, pain, length of stay in hospital and complications were compared between the two groups. ResultsIn both groups, the operation was successful and there was no conversion to laparotomy, and no complications occurred 1 year after follow-up. There was no significant difference in intraoperative blood loss, postoperative exhaust time and length of stay in hospital between the two groups. The operation time in the single site group was longer than that in the traditional group (111.00 ±54.90)min vs (79.67±42.45) min]. The VAS pain score in the single site group was significantly lower than that in the traditional group at 3 days after operation (2.6±0.92) vs (2.0±0.98)]. The difference was statistically significant (P<0.05). The visual analogue scale pain score in the single site group was significantly lower than that in the traditional group (P<0.05). The difference was statistically significant (P<0.05). ConclusionsTransumbilical laparoscopic single site surgery is minimally invasive, safe and feasible. Compared with traditional laparoscopic surgery, the postoperative pain is obviously alleviated.