单孔腹腔镜下子宫切除术的应用研究

发布时间：2019-02-22 11:45

【摘要】：目的：探讨单孔腹腔镜下子宫切除术(LESS-TH)的应用价值方法：研究筛选广西壮族自治区人民医院2013年1月至2015年1月期间,因妇科非恶性疾病需行子宫切除术的120例患者,随机分配60例为实验组,实施单孔腹腔镜下子宫切除术；60例为对照组,实施传统腹腔镜下子宫切除术。统计两组的手术时间、术中出血量、术后肛门排气时间、术后病率、住院时间、术后疼痛评分等相关数据,并进行分析比较。结果：两组手术均顺利完成。两组均无术中、术后严重并发症,无手术死亡病例,无1例中转开腹手术。实验组和对照组的手术时间分别为(98.91±18.97)min和(90.60±15.73)min；术中出血量分别为(65.00±21.75)ml和(67.36±38.02)ml;住院时间分别为(7.57±0.98)天和(7.13±1.01))天；术后病率分别为5%和8.3%,四组资料统计差异均无明显统计学意义(P0.05)。实验组和对照组的术后疼痛评分分别为(1.41±0.27)分和(1.61±0.27)分,两组资料统计差异有明显差异(P0.05)。实验组和对照组的术后肛门排气时间分别为(44.00±9.34)h和(49.07±5.00)h,两组资料统计有明显差异(P0.05)。术后3个月随访,两组患者均无远期并发症。实验组和对照组患者对腹部伤口美容满意度分别为(4.57±0.51)分和(4.07±0.54)分,其差异有明显的统计学差异(P0.05),实验组患者满意度明显优于对照组。结论：单孔腹腔镜手术是一种安全、可行的手术方式,其因术后疼痛减少,术后恢复更快,有更佳的美容效果,更易被患者所接受。
[Abstract]:Objective: to evaluate the value of single hole laparoscopic hysterectomy (LESS-TH) in the study of 120 patients undergoing hysterectomy for gynecological non-malignant diseases from January 2013 to January 2015 in the people's Hospital of Guangxi Zhuang Autonomous region. 60 cases of experimental group were randomly assigned to perform single-hole laparoscopic hysterectomy. 60 cases as control group were treated with traditional laparoscopic hysterectomy. The operation time, blood loss, postoperative anal exhaust time, postoperative disease rate, hospitalization time and postoperative pain score were analyzed and compared between the two groups. Results: the operation was completed successfully in both groups. In both groups, there were no severe postoperative complications, no operative death and no conversion to open surgery. The operative time of experimental group and control group were (98.91 卤18.97) min and (90.60 卤15.73) min;, respectively. The amount of intraoperative bleeding was (65.00 卤21.75) ml and (67.36 卤38.02) ml;, respectively. The hospitalization time was (7.57 卤0.98) days and (7.13 卤1.01) days, respectively. The postoperative disease rates were 5% and 8.3% respectively. There was no statistical difference among the four groups (P0.05). The postoperative pain scores of the experimental group and the control group were (1.41 卤0.27) and (1.61 卤0.27), respectively. There was significant difference between the two groups (P0.05). The postoperative anal exhaust time in the experimental group and the control group was (44.00 卤9.34) h and (49.07 卤5.00) h, respectively. There was significant difference between the two groups (P0.05). There were no long-term complications in both groups after 3 months follow-up. The beauty satisfaction of experimental group and control group were (4.57 卤0.51) and (4.07 卤0.54), respectively, the difference was statistically significant (P0.05), the patient satisfaction of experimental group was significantly better than that of control group. Conclusion: single hole laparoscopic surgery is a safe and feasible method, which can be easily accepted by patients because of the reduction of postoperative pain, the faster recovery after operation and the better cosmetic effect.
【学位授予单位】：广西医科大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R713.42

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