文章摘要
潘安安,韩文晖,李梅,王小燕,高传龙,汪燕.改良式经脐单孔腹腔镜技术在妇科手术中的应用[J].中国临床保健杂志,2018,21(6):815-818.
改良式经脐单孔腹腔镜技术在妇科手术中的应用
The application of modified umbilical single-aperture laparoscopic technique in gynecological surgery
投稿时间:2018-07-10  
DOI:10.3969/J.issn.1672-6790.2018.06.024
中文关键词: 妇科外科手术  腹腔镜检查  有效性研究  病人安全
英文关键词: Gynecologic surgical procedures  Laparoscopy  Validation studies  Patient safety 〖FL
基金项目:
作者单位E-mail
潘安安 安徽医科大学附属安庆医院妇产科,安庆 246003, 1253502151@qq.com 
韩文晖 安徽医科大学附属安庆医院妇产科,安庆 246003, 1253502151@qq.com 
李梅 安徽医科大学附属安庆医院妇产科,安庆 246003, 1253502151@qq.com 
王小燕 安徽医科大学附属安庆医院妇产科,安庆 246003, 1253502151@qq.com 
高传龙 安徽医科大学附属安庆医院妇产科,安庆 246003, 1253502151@qq.com 
汪燕 安徽安庆市怀宁县中医院 1253502151@qq.com 
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中文摘要:
      目的 探讨改良式经脐单孔腹腔镜技术在妇科手术领域中的应用价值。 方法 回顾性分析100例妇科疾病患者,依据治疗方法不同分为观察组与对照组,每组50例,观察组取我院行改良式经脐单孔腹腔镜妇科手术50例,对照组随机选择相应的多孔腹腔镜手术50例,观察平均手术时间、手术中出血量及手术后下床活动时间、手术后住院时间、手术后肛门排气时间,随访患者手术后12 h疼痛评分,住院费用。 结果 两组手术中出血量、手术后住院时间及住院费用差异无统计学意义(P>0.05);观察组患者手术后下床活动时间、肛门排气时间及手术后12 h疼痛评分均低于对照组,差异有统计学意义(P<0.05)。平均手术时间观察组大于对照组,差异有统计学意义(P<0.05)。两组手术均顺利完成,手术中及手术后无并发症发生,无中转开腹。 结论 改良式经脐单孔腹腔镜手术与多孔腹腔镜手术的有效性及安全性相当,但经脐单孔腹腔镜手术组能够明显减轻患者手术后疼痛程度及缩短肠道恢复时间。
英文摘要:
      Objective To discuss the application value of modified single-hole laparoscopy in the field of gynecology. Methods 100 cases of patients with benign disease of department of gynaecology were divided into observation group and the control group on the basis of treatment method,50 cases in each group.Observation group took our line modified by umbilical single-arch laparoscopic gynecological surgery,control group 50 cases randomly selected corresponding porous laparoscopic surgery,observing the average operation time,intraoperative blood loss and postoperative bed time,postoperative hospital stay,anal exhaust time,postoperative follow-up of patients with postoperative pain score 12 h,hospitalization expenses. Results There was no significant difference in the amount of blood loss,postoperative hospital stay and hospitalization cost between the two groups (P>0.05).In the observation group,the off-bed activity after operation,anal discharge time and 12 h pain score of the patients were lower than the control group,and the difference was statistically significant (P<0.05).The average operation time of the observation group was greater than the control group,and the difference was statistically significant (P<0.05).The operation of both groups was completed successfully,and no complications occurred after operation. Conclusion Modified by umbilical single-arch laparoscopic is same efficacy and safety with porous laparoscopic surgery,but the umbilical single-arch laparoscopic surgery group can significantly reduce postoperative pain degree of patients and shorten recovery time of the gut.
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