单孔腹腔镜与传统腹腔镜行全子宫切除术的效果对比研究

摘要

Objective To explore the clinical value of single-port laparoscopic total hysterectomy( LESS-TH).Methods One hundred and twenty cases with non-gynaecological malignant diseases were randomly divided in-to the experimental group(n =60) and the control group(n =60).The experimental group received single-port LESS-TH and the control group received traditional LESS-TH.The operation time, the bleeding volume, the hospitalization time, the postoperative morbidity, the postoperative anal exhaust time and the patients′satisfaction were compared between the two groups.Results There were no significant differences in the time of surgery, intraoperative hemor-rhage volume and the hospitalization time between the two groups(P >0.05).The postoperative pain score, the post-operative anal exhaust time and the patients′satisfaction were significantly improved in the experimental group than those in the control group(P <0.05).The operation was successful in both of the two groups without postoperative complications, dead cases or failed cases.Conclusion Laparoendoscopic single-port surgery is a safe and feasible operation mode for hysterectomy, with a reduction of postoperative pain, faster recovery, and a better cosmetic result.%目的：探讨单孔腹腔镜下全子宫切除术（ LESS－TH）的应用价值。方法将120例因妇科非恶性疾病行全子宫切除术的患者，随机分为实验组和对照组，实验组（60例）实施单孔腹腔镜下全子宫切除术；对照组（60例）实施传统腹腔镜下全子宫切除术。比较两组的手术时间、术中出血量、住院时间、术后病率、术后肛门排气时间、患者满意度等。结果实验组和对照组的手术时间、术中出血量及住院时间比较差异均无统计学意义（P ＞0.05）。实验组和对照组的术后疼痛评分、术后肛门排气时间及腹部伤口美容满意度比较，实验组明显优于对照组，差异有统计学意义（P ＜0.05）。两组手术均顺利完成，且均无术中、术后严重并发症、无手术死亡病例，无一例中转开腹手术。结论单孔腹腔镜手术是一种安全、可行的手术方式，因其较其他手术方式术后疼痛减少，术后恢复更快，具有更佳的美容效果，故更容易被患者接受。