单孔腹腔镜与多孔腹腔镜手术治疗卵巢良性肿物的对比研究

发布时间：2018-08-22 13:49

【摘要】：目的探讨单孔腹腔镜手术治疗卵巢良性肿物的可行性和相关手术结局。方法选取北京大学第一医院2013年9月至2014年6月收治的80例经腹腔镜手术治疗的卵巢良性肿物患者。其中25例接受经脐单切口腹腔镜手术(single-incision laparoscopic surgery,SILS),25例接受单孔腹腔镜手术(single-port laparoscopic surgery,SPLS),30例接受传统多切口腹腔镜手术(multi-port laparoscopic surgery,MPLS)。回顾性分析三组患者的临床病理特征、手术类型、手术时间、术中出血量、术后住院日等围术期结局。结果 SILS、SPLS、MPLS三组患者手术均成功完成。三组患者临床病理特征差异无统计学意义(P0.05)。SILS、SPLS和MPLS三组患者手术时间平均51min、56min和45min(P0.05);术中出血量分别为10ml、10ml和15ml(P0.05);手术前后血红蛋白变化分别为7g/L、8g/L和6g/L(P0.05)。结论对于适宜患者,单孔腹腔镜治疗卵巢良性肿物是安全可行的手术方法。
[Abstract]:Objective to investigate the feasibility and outcome of single-hole laparoscopic surgery for benign ovarian masses. Methods from September 2013 to June 2014, 80 patients with benign ovarian neoplasms treated by laparoscopy were selected from the first Hospital of Peking University. Among them, 25 cases underwent transumbilical single incision laparoscopic surgery (single-incision laparoscopic SurgerySILS) and 25 cases underwent single-port laparoscopic Surgical Laparoscopic surgery (single-port laparoscopic SurgerySPLS). 30 cases received traditional multiple incision Laparoscopic surgery (multi-port laparoscopic SurgeryMPLS). The clinicopathological features, type of operation, operative time, intraoperative bleeding volume, postoperative hospitalization date and perioperative outcome of the three groups were analyzed retrospectively. Results the operation of SILSS-SPLSS-MPLS was completed successfully in all three groups. There was no significant difference in the clinicopathological characteristics among the three groups (P0.05). The mean operative time was 51 min / 56min and 45min (P0.05); the intraoperative bleeding volume was 10ml / 10ml and 15ml (P0.05); the changes of hemoglobin before and after operation were 7gL / L 8g / L and 6g/L (P0.05). Conclusion single-hole laparoscopy is a safe and feasible method for the treatment of benign ovarian masses.
【作者单位】：北京大学第一医院妇产科;北京清华长庚医院妇产科;清华大学医学中心;
【分类号】：R737.31

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