CAJ | 학술논문

目的探讨经脐单孔腹腔镜手术治疗年轻患者妇科附件良性病变中的应用价值. 方法 2010年7月～2011年12月36例妇科附件良性病变行经脐单孔腹腔镜手术(单孔腹腔镜组),于脐轮上缘做一2 cm弧形切口,置入单孔腹腔镜穿刺套管,建立人工气腹,置入腹腔镜探头及器械进行手术,手术操作步骤同传统腹腔镜手术,并与同期38例传统腹腔镜妇科手术(传统腹腔镜组)进行对比. 结果 2组手术均获成功.与传统腹腔镜组比较,单孔腹腔镜手术时间长[单侧卵巢成熟性畸胎瘤/浆液性囊腺瘤剥除术:(50.3±9.1)min vs.(35.6±8.5)min,t =4.340,p =0.000;输卵管整形术:(32.3±7.6)min vs.(15.7±5.3) min,t =5.383,P =0.001;输卵管切除术:(34.1±5.2)min vs.(14.4±3.5)min,t =6.864,P =0.000;输卵管开窗取胚术:(29.6±7.2)min vs.(16.5±5.7)min,t=4.003,P=0.001].2组术中出血量[(29.9±11.1)ml vs.(30.6±12.0)ml,t=-0.260,P=0.796]、排气时间[(36.5 ±4.1)h vs.(35.2±5.4)h,t=1.162,P=0.249]、住院时间[(3.4±0.7)d vs.(3.2±0.9)d,t=1.063,P=0.291]和术后病率[8例vs.7例,x2=0.165,P=0.684]无统计学差异.2组患者术后随访6个月,均无切口疝发生. 结论经脐单孔腹腔镜手术治疗年轻患者妇科附件良性病变达到了微创与美观的结合,安全可行.
목적 탐토경제단공복강경수술치료년경환자부과부건량성병변중적응용개치. 방법 2010년7월～2011년12월36례부과부건량성병변행경제단공복강경수술(단공복강경조),우제륜상연주일2 cm호형절구,치입단공복강경천자투관,건립인공기복,치입복강경탐두급기계진행수술,수술조작보취동전통복강경수술,병여동기38례전통복강경부과수술(전통복강경조)진행대비. 결과 2조수술균획성공.여전통복강경조비교,단공복강경수술시간장[단측란소성숙성기태류/장액성낭선류박제술:(50.3±9.1)min vs.(35.6±8.5)min,t =4.340,p =0.000;수란관정형술:(32.3±7.6)min vs.(15.7±5.3) min,t =5.383,P =0.001;수란관절제술:(34.1±5.2)min vs.(14.4±3.5)min,t =6.864,P =0.000;수란관개창취배술:(29.6±7.2)min vs.(16.5±5.7)min,t=4.003,P=0.001].2조술중출혈량[(29.9±11.1)ml vs.(30.6±12.0)ml,t=-0.260,P=0.796]、배기시간[(36.5 ±4.1)h vs.(35.2±5.4)h,t=1.162,P=0.249]、주원시간[(3.4±0.7)d vs.(3.2±0.9)d,t=1.063,P=0.291]화술후병솔[8례vs.7례,x2=0.165,P=0.684]무통계학차이.2조환자술후수방6개월,균무절구산발생. 결론 경제단공복강경수술치료년경환자부과부건량성병변체도료미창여미관적결합,안전가행.