CAJ | 학술논문

目的：探讨单孔腹腔镜在治疗卵巢良性疾病中的可行性及临床价值。方法选取南方医科大学附属南海人民医院2010年1月至2012年5月完成的单孔腹腔镜卵巢良性疾病手术30例作为研究组，与同期由同组手术医生完成的常规腹腔镜手术37例作对照组，比较两组的术前、术中及术后情况。结果两组手术均获成功，均无术后病率及并发症发生。研究组手术时间为（76．17±30．56）分钟，显著长于对照组（55．86±18．16）分钟（ z＝-2．914，P＜0．05）。研究组术后24小时疼痛评分低于对照组（t＝-5．529，P＜0．05）。研究组术后1个月疼痛问卷调查表评分显著低于对照组（z＝-3．206，P＜0．05）。研究组与对照组在出血量（t＝-1．303，P＞0．05）、排气时间（t＝-1．737，P＞0．05）、术后住院日（t＝-1．149，P＞0．05）比较差异均无统计学意义。随访1～12个月，两组患者腹壁切口恢复好，无切口感染、出血及切口疝发生，研究组腹壁基本无疤痕，达到了完美的美容效果。结论单孔腹腔镜手术在卵巢良性疾病中的应用，不仅可以达到常规腹腔镜手术创伤小、恢复快，手术区域结构组织暴露清晰等同样的效果，且更具有完美的美容效果及疼痛轻、损伤更小等优势。
목적：탐토단공복강경재치료란소량성질병중적가행성급림상개치。방법선취남방의과대학부속남해인민의원2010년1월지2012년5월완성적단공복강경란소량성질병수술30례작위연구조，여동기유동조수술의생완성적상규복강경수술37례작대조조，비교량조적술전、술중급술후정황。결과량조수술균획성공，균무술후병솔급병발증발생。연구조수술시간위（76．17±30．56）분종，현저장우대조조（55．86±18．16）분종（ z＝-2．914，P＜0．05）。연구조술후24소시동통평분저우대조조（t＝-5．529，P＜0．05）。연구조술후1개월동통문권조사표평분현저저우대조조（z＝-3．206，P＜0．05）。연구조여대조조재출혈량（t＝-1．303，P＞0．05）、배기시간（t＝-1．737，P＞0．05）、술후주원일（t＝-1．149，P＞0．05）비교차이균무통계학의의。수방1～12개월，량조환자복벽절구회복호，무절구감염、출혈급절구산발생，연구조복벽기본무파흔，체도료완미적미용효과。결론단공복강경수술재란소량성질병중적응용，불부가이체도상규복강경수술창상소、회복쾌，수술구역결구조직폭로청석등동양적효과，차경구유완미적미용효과급동통경、손상경소등우세。
Objective To investigate the feasibility and the value of laparoendoscopic single-site surgery ( LESS ) in ovarian benign diseases.Methods From January 2010 to May 2012, 30 cases of ovarian begin diseases were treated with LESS in Hospital of Nanhai District.They were included in study group .At the same period another 37 cases undergoing conventional laparoscopy by the same physicians were in control group .The preoperative , intra-operative and postoperative situations were compared between two groups . Results All the procedures were performed successfully in both groups .There was no postoperative morbidity or complications .The mean operation time of the study group (76.17 ±30.56min) was significantly longer than that of the control group (55.86 ±18.16mins) ( z=-2.914, P<0.05).The score of pain 24 hours after operation in the study group was lower than that in the control group (t=-5.529, P<0.05).The scores in pain questionnaire 1 month after operation in the study group were significantly lower than those in the control group (z=-3.206,P<0.05).No significant difference was observed in the volume of bleeding (t=-1.303, P>0.05), anal exhaust time (t=-1.737, P>0.05) and the length of hospital stay after operation (t=-1.149,P>0.05) between two groups.All the patients were followed up for certain period from 1 to 12 months, during which no incision hernia , hemorrhage or incision infection occurred .No apparent scar could be seen in the umbilicus in the patients who took LESS , which obtained good cosmetic outcome .Conclusion LESS in ovarian benign diseases not only has the same effects as those of the traditional laparoscopic operation in the field of mini trauma , quick recovery and in focus exposure operation area , but also gives less pain , less trauma, as well as the better cosmetic results .