摘要
目的探究改良单孔腹腔镜与传统三孔腹腔镜在妇科良性附件手术中的有效性和安全性。方法采用简单随机化分组方法,纳入2015年6月至2016年12月于北京大学第一医院因附件良性病变行腹腔镜手术的200例患者,随机分为改良单孔腹腔镜组(研究组,n=100)和传统腹腔镜组(对照组,n=100),比较两组手术时间、术后血红蛋白变化、术后排气时间、术后进食时间、术后疼痛、术后住院时间等临床资料,随访术后1周、1个月及3年手术瘢痕、肿物复发及术后妊娠等情况。结果研究组和对照组患者的手术时间(中位数:42.0 min,45.0 min)、术后血红蛋白变化(中位数:12.0 g/L,15.0 g/L)、术后排气时间(中位数:15.5 h,17.5 h)、术后进流食时间(中位数:8.5 h,14.5 h)、术后住院时间(中位数:2.5 d,3.0 d)比较,差异均无统计学意义(P>0.05)。术后两组患者手术瘢痕、肿物复发、术后妊娠等方面比较,差异均无统计学意义(P>0.05)。结论改良单孔腹腔镜手术治疗良性附件病变安全、有效,术后瘢痕因集中于脐部更加隐匿美观,患者满意度高,易于推广。
Objective To determine the feasibility and safety of modified laparoendoscopic single-site surgery(MLESS) compared to traditional laparoscopic surgery(TLS) for the treatment of benign adnexal lesions. Methods 200 patients diagnosed with benign adnexal lesions who were intent to undergo laparoscopic surgery between June 2015 and December 2016 were randomly assigned to MLESS group(n = 100) and TLS group(n = 100). Demographic, surgical outcomes, and follow-up details were compared. Results The two groups were demopraohically matched with no difference in operation time(42 min vs 45 min), change of hemoglobin level(12.0 g/L vs 15.0 g/L), postoperative exhaust time(15.5 h vs 17.5 h), postoperative intake time(8.5 h vs 14.5 h), and duration of postoperative hospital stay(2.5 d vs 3.0 d)(P > 0.05). There were no difference in the postoperation follow-up including scar appearance, lesion recurrency,pregnancy rate between the two groups. Conclusion MLESS is a feasible and safe approach for the treatment of benign adnexal lesions, it can be performed with high patient satisfaction and provide improved cosmesis.
作者
王斯云
张静
尹玲
史阳阳
WANG Siyun;ZHANG Jing;YIN Ling;SHI Yangyang(Department of Obstetrics and Gynecology,Peking University First Hospital,Beijing100034,China)
出处
《中国妇产科临床杂志》
CSCD
2021年第6期589-592,共4页
Chinese Journal of Clinical Obstetrics and Gynecology
关键词
改良单孔腹腔镜手术
良性附件病变
手术结局
modified laparoendoscopic single-site surgery
benign adnexal lesions
surgical outcomes
