摘要
【摘 要】目的：探讨单孔腹腔镜手术在治疗妇科疾病的适用性和安全性。方法：回顾性分析 2018年 3月 -2020年 3月我院妇科完成的 100例单孔腹腔镜手术，并与同期 100例传统腹腔镜手术进行对比分析。结果：单孔腹腔镜手术脐部伤口愈合良好，无明显瘢痕形成且恢复快、疼痛轻。与传统腹腔镜手术结果相比较，单孔腹腔镜术后肠道功能恢复时间缩短（ p<0.05），疼痛明显减轻（ p<0.05）、 ;但单孔腹腔镜手术时间长（ p<0.05）。两组患者的术中出血量、术后住院时间无显著差异（ p>0.05） ;患者术中均无中转开腹手术，术后定期随访均未发生腹壁血管神经损伤，无泌尿系损伤等并发症。结论：单孔腹腔镜手术在妇科良性疾病中可以广泛应用，具有一定的安全性和临床适用性，腹部无明显瘢痕形成且恢复快、疼痛轻，但需严格把握手术适应证。
【关键词】单孔腹腔镜 ;妇科良性疾病
[Abstract] Objective: To explore the applicability and safety of single hole laparoscopic surgery in the treatment of gynecological diseases. Methods: 100 cases of single hole laparoscopic surgery completed in our hospital from March 2018 to March 2020 were analyzed retrospectively, and compared with 100 cases of traditional laparoscopic surgery in the same period. Results: the single hole laparoscopic operation showed good healing, no obvious scar formation, fast recovery and light pain. Compared with the results of traditional laparoscopic surgery, the recovery time of intestinal function was shorter (P < 0.05), the pain was significantly reduced (P < 0.05), but the time of single hole laparoscopic surgery was longer (P < 0.05). There was no significant difference between the two groups in the amount of bleeding and the length of stay (p>0.05). Conclusion: single hole laparoscopic surgery can be widely used in gynecology benign diseases, which has certain safety and clinical applicability. There is no obvious scar formation in abdomen, and the recovery is fast and the pain is light, but the operation indications should be strictly controlled.
出版日期
2020年04月28日（中国期刊网平台首次上网日期，不代表论文的发表时间）
