中华妇产科杂志
中華婦產科雜誌
중화부산과잡지
CHINESE JOUNAL OF OBSTETRICS AND GYNECOLOGY
2014年
3期
176-178
,共3页
熊巍%孙大为%张俊吉%刘珠凤%冷金花%朱兰%郎景和
熊巍%孫大為%張俊吉%劉珠鳳%冷金花%硃蘭%郎景和
웅외%손대위%장준길%류주봉%랭금화%주란%랑경화
腹腔镜检查%卵巢囊肿%对比研究
腹腔鏡檢查%卵巢囊腫%對比研究
복강경검사%란소낭종%대비연구
Laparoscopy%Ovarian cysts%Comparative study
目的 比较经脐单孔腹腔镜与传统三孔腹腔镜卵巢囊肿剔除术的临床效果.方法 选择2012年2月至2013年6月在中国医学科学院北京协和医院拟行卵巢囊肿手术的患者54例,随机分为单孔腹腔镜组(24例)和三孔腹腔镜组(30例);分析比较两组患者的手术时间、术中出血量、并发症、术后疼痛评分、术后镇痛药物使用情况、住院时间、术后美容满意度和总费用等.结果 单孔腹腔镜组和三孔腹腔镜组术中出血量[分别为(25±17)、(24±18) ml]、术后住院时间[分别为(2.9±0.9)、(2.5±0.4)d]、并发症发生情况(均为0例)、术后镇痛药物使用情况[分别为2、3例]及总费用[分别为(5 524±1 078)、(5 200±1 269)元]比较,差异均无统计学意义(P＞0.05).三孔腹腔镜组和单孔腹腔镜组手术时间分别为(31±10)和(40 ±19) min;术后第1天,疼痛视觉模拟评分(VAS)分别为(5.6±1.7)和(2.7±1.4)分;术后美容满意度评分分别为(92.5±2.5)和(97.4±1.5)分,两组分别比较,差异均有统计学意义(P＜0.05).结论 单孔腹腔镜治疗良性卵巢囊肿是安全可行的,且能明显减轻患者的术后疼痛,并能达到更好的美容效果.
目的 比較經臍單孔腹腔鏡與傳統三孔腹腔鏡卵巢囊腫剔除術的臨床效果.方法 選擇2012年2月至2013年6月在中國醫學科學院北京協和醫院擬行卵巢囊腫手術的患者54例,隨機分為單孔腹腔鏡組(24例)和三孔腹腔鏡組(30例);分析比較兩組患者的手術時間、術中齣血量、併髮癥、術後疼痛評分、術後鎮痛藥物使用情況、住院時間、術後美容滿意度和總費用等.結果 單孔腹腔鏡組和三孔腹腔鏡組術中齣血量[分彆為(25±17)、(24±18) ml]、術後住院時間[分彆為(2.9±0.9)、(2.5±0.4)d]、併髮癥髮生情況(均為0例)、術後鎮痛藥物使用情況[分彆為2、3例]及總費用[分彆為(5 524±1 078)、(5 200±1 269)元]比較,差異均無統計學意義(P＞0.05).三孔腹腔鏡組和單孔腹腔鏡組手術時間分彆為(31±10)和(40 ±19) min;術後第1天,疼痛視覺模擬評分(VAS)分彆為(5.6±1.7)和(2.7±1.4)分;術後美容滿意度評分分彆為(92.5±2.5)和(97.4±1.5)分,兩組分彆比較,差異均有統計學意義(P＜0.05).結論 單孔腹腔鏡治療良性卵巢囊腫是安全可行的,且能明顯減輕患者的術後疼痛,併能達到更好的美容效果.
목적 비교경제단공복강경여전통삼공복강경란소낭종척제술적림상효과.방법 선택2012년2월지2013년6월재중국의학과학원북경협화의원의행란소낭종수술적환자54례,수궤분위단공복강경조(24례)화삼공복강경조(30례);분석비교량조환자적수술시간、술중출혈량、병발증、술후동통평분、술후진통약물사용정황、주원시간、술후미용만의도화총비용등.결과 단공복강경조화삼공복강경조술중출혈량[분별위(25±17)、(24±18) ml]、술후주원시간[분별위(2.9±0.9)、(2.5±0.4)d]、병발증발생정황(균위0례)、술후진통약물사용정황[분별위2、3례]급총비용[분별위(5 524±1 078)、(5 200±1 269)원]비교,차이균무통계학의의(P＞0.05).삼공복강경조화단공복강경조수술시간분별위(31±10)화(40 ±19) min;술후제1천,동통시각모의평분(VAS)분별위(5.6±1.7)화(2.7±1.4)분;술후미용만의도평분분별위(92.5±2.5)화(97.4±1.5)분,량조분별비교,차이균유통계학의의(P＜0.05).결론 단공복강경치료량성란소낭종시안전가행적,차능명현감경환자적술후동통,병능체도경호적미용효과.
Objective To investigate clinical outcome of laparoendoscopic single-site compared with traditional three-port in treatment of ovarian cystectomy.Method From February 2012 to June 2013,54 patients with ovarian cyst were randomized to the single-site group (n =24) or the three-port group (n =30) in Peking Union Medical College Hospital.The outcome of laparoscopic single-site and three-port ovarian cystectomy were evaluated.Operation time,blood loss,surgical complications,postoperative pain score,postoperative analgesic requirements,length of hospital stay,cosmetic satisfaction score,postoperative recovery and total cost were compared between both groups.Results No difference was found in blood loss,length of hospital stay,complications and total cost between the two groups(P ＞ 0.05).Operation time was (31-± 10) minute in three-port group and (40 ± 19) minute in single-site group.Visual analogue pain score was 5.6 ± 1.7 in three-port group and 2.7 ± 1.4 in single-site group,cosmetic satisfaction score was 92.5 ± 2.5 in three-port group and 97.4 ± 1.5 in single-site group.Those clinical parameter reached statistical difference (all P ＜ 0.05).Conclusion Laparoendoscopic single site surgery approach is feasible and safe to treat benign ovarian cyst disease.And it offers decreased pain and offer improved cosmesis.
