中国医药指南
中國醫藥指南
중국의약지남
Guide of China Medicine
2015年
26期
15-15,17
,共2页
单孔腹腔镜%传统腹腔镜%比较%妇科
單孔腹腔鏡%傳統腹腔鏡%比較%婦科
단공복강경%전통복강경%비교%부과
Single hole laparoscopic%Conventional laparoscopic%Compare%Gynecology
目的：研究在妇科良性病变中进行单孔腹腔镜手术与传统腹腔镜手术的可行性及优缺点。方法将我院自2011年~2013年收治的70例进行单孔腹腔镜妇科手术与同期140例进行常规传统腹腔镜手术进行比较，分别为治疗组与对照组。单孔腹腔镜手术时在患者的脐轮中间操作一个纵向的切口，通过穿刺插入穿刺套管，为患者建立气腹，压力维持在12~13 mm Hg。穿刺套管的3个孔道插入腹腔探头及操作器械中进行手术，手术中操作与传统腹腔镜手术相同。结果所有患者手术均成功，治疗组的手术时间较长与对照组差异显著（P<0.05）；术中及术后未发生并发症。半年内进行随访，均未出现切口疝、出血及手术后伤口感染等并发症。结论目前单孔腹腔镜处于初级阶段，进行手术具有一定的难度，手术时间延长也在预料之中。对患者进行单孔腹腔镜可以降低体表创伤，安全可行，伤口美容效果很好。
目的：研究在婦科良性病變中進行單孔腹腔鏡手術與傳統腹腔鏡手術的可行性及優缺點。方法將我院自2011年~2013年收治的70例進行單孔腹腔鏡婦科手術與同期140例進行常規傳統腹腔鏡手術進行比較，分彆為治療組與對照組。單孔腹腔鏡手術時在患者的臍輪中間操作一箇縱嚮的切口，通過穿刺插入穿刺套管，為患者建立氣腹，壓力維持在12~13 mm Hg。穿刺套管的3箇孔道插入腹腔探頭及操作器械中進行手術，手術中操作與傳統腹腔鏡手術相同。結果所有患者手術均成功，治療組的手術時間較長與對照組差異顯著（P<0.05）；術中及術後未髮生併髮癥。半年內進行隨訪，均未齣現切口疝、齣血及手術後傷口感染等併髮癥。結論目前單孔腹腔鏡處于初級階段，進行手術具有一定的難度，手術時間延長也在預料之中。對患者進行單孔腹腔鏡可以降低體錶創傷，安全可行，傷口美容效果很好。
목적：연구재부과량성병변중진행단공복강경수술여전통복강경수술적가행성급우결점。방법장아원자2011년~2013년수치적70례진행단공복강경부과수술여동기140례진행상규전통복강경수술진행비교，분별위치료조여대조조。단공복강경수술시재환자적제륜중간조작일개종향적절구，통과천자삽입천자투관，위환자건립기복，압력유지재12~13 mm Hg。천자투관적3개공도삽입복강탐두급조작기계중진행수술，수술중조작여전통복강경수술상동。결과소유환자수술균성공，치료조적수술시간교장여대조조차이현저（P<0.05）；술중급술후미발생병발증。반년내진행수방，균미출현절구산、출혈급수술후상구감염등병발증。결론목전단공복강경처우초급계단，진행수술구유일정적난도，수술시간연장야재예료지중。대환자진행단공복강경가이강저체표창상，안전가행，상구미용효과흔호。
Objective Feasibility and advantages and disadvantages of single hole laparoscopic operation and traditional laparoscopic operation in gynecologic benign lesions.Methods 70 patients in our hospital from 2011 to 2013 were single hole laparoscopic gynecologic operation and 140 cases of the same routine traditional laparoscopic operation were compared, respectively, into the treatment group and the observation group. The operation of a longitudinal incision in the navel for patients with intermediate single hole laparoscopic surgery, insert the puncture cannula through the puncture, establishment of pneumoperitoneum for patients, the pressure is maintained at 12-13 mm Hg. 3 channel trocar insertion surgery abdominal probe and the operation of equipment, operation and conventional laparoscopic surgery in the same.Results All patients were successfully, the treatment group long operation time with the control group, significant difference(P<0.05); postoperative complications. Within six months of follow-up, there was no wound complication such as infection, bleeding and postoperativeincisional hernia.Conclusion The single hole laparoscopic surgery in the primary stage, with a certain degree of difficulty, long time of operation are also expected. For patients with single hole laparoscopic can reduce the surface of wound, the wound is safe and feasible, very good cosmetic effect.
