【摘要】：目的：探討單孔腹腔鏡下子宮切除術(shù)(LESS-TH)的應(yīng)用價值方法：研究篩選廣西壯族自治區(qū)人民醫(yī)院2013年1月至2015年1月期間,因婦科非惡性疾病需行子宮切除術(shù)的120例患者,隨機分配60例為實驗組,實施單孔腹腔鏡下子宮切除術(shù)；60例為對照組,實施傳統(tǒng)腹腔鏡下子宮切除術(shù)。統(tǒng)計兩組的手術(shù)時間、術(shù)中出血量、術(shù)后肛門排氣時間、術(shù)后病率、住院時間、術(shù)后疼痛評分等相關(guān)數(shù)據(jù),并進行分析比較。結(jié)果：兩組手術(shù)均順利完成。兩組均無術(shù)中、術(shù)后嚴重并發(fā)癥,無手術(shù)死亡病例,無1例中轉(zhuǎn)開腹手術(shù)。實驗組和對照組的手術(shù)時間分別為(98.91±18.97)min和(90.60±15.73)min；術(shù)中出血量分別為(65.00±21.75)ml和(67.36±38.02)ml;住院時間分別為(7.57±0.98)天和(7.13±1.01))天；術(shù)后病率分別為5%和8.3%,四組資料統(tǒng)計差異均無明顯統(tǒng)計學(xué)意義(P0.05)。實驗組和對照組的術(shù)后疼痛評分分別為(1.41±0.27)分和(1.61±0.27)分,兩組資料統(tǒng)計差異有明顯差異(P0.05)。實驗組和對照組的術(shù)后肛門排氣時間分別為(44.00±9.34)h和(49.07±5.00)h,兩組資料統(tǒng)計有明顯差異(P0.05)。術(shù)后3個月隨訪,兩組患者均無遠期并發(fā)癥。實驗組和對照組患者對腹部傷口美容滿意度分別為(4.57±0.51)分和(4.07±0.54)分,其差異有明顯的統(tǒng)計學(xué)差異(P0.05),實驗組患者滿意度明顯優(yōu)于對照組。結(jié)論：單孔腹腔鏡手術(shù)是一種安全、可行的手術(shù)方式,其因術(shù)后疼痛減少,術(shù)后恢復(fù)更快,有更佳的美容效果,更易被患者所接受。
[Abstract]:Objective: to evaluate the value of single hole laparoscopic hysterectomy (LESS-TH) in the study of 120 patients undergoing hysterectomy for gynecological non-malignant diseases from January 2013 to January 2015 in the people's Hospital of Guangxi Zhuang Autonomous region. 60 cases of experimental group were randomly assigned to perform single-hole laparoscopic hysterectomy. 60 cases as control group were treated with traditional laparoscopic hysterectomy. The operation time, blood loss, postoperative anal exhaust time, postoperative disease rate, hospitalization time and postoperative pain score were analyzed and compared between the two groups. Results: the operation was completed successfully in both groups. In both groups, there were no severe postoperative complications, no operative death and no conversion to open surgery. The operative time of experimental group and control group were (98.91 鹵18.97) min and (90.60 鹵15.73) min;, respectively. The amount of intraoperative bleeding was (65.00 鹵21.75) ml and (67.36 鹵38.02) ml;, respectively. The hospitalization time was (7.57 鹵0.98) days and (7.13 鹵1.01) days, respectively. The postoperative disease rates were 5% and 8.3% respectively. There was no statistical difference among the four groups (P0.05). The postoperative pain scores of the experimental group and the control group were (1.41 鹵0.27) and (1.61 鹵0.27), respectively. There was significant difference between the two groups (P0.05). The postoperative anal exhaust time in the experimental group and the control group was (44.00 鹵9.34) h and (49.07 鹵5.00) h, respectively. There was significant difference between the two groups (P0.05). There were no long-term complications in both groups after 3 months follow-up. The beauty satisfaction of experimental group and control group were (4.57 鹵0.51) and (4.07 鹵0.54), respectively, the difference was statistically significant (P0.05), the patient satisfaction of experimental group was significantly better than that of control group. Conclusion: single hole laparoscopic surgery is a safe and feasible method, which can be easily accepted by patients because of the reduction of postoperative pain, the faster recovery after operation and the better cosmetic effect.
【學(xué)位授予單位】：廣西醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2015
【分類號】：R713.42

【參考文獻】

相關(guān)期刊論文 前3條

1 陳艷;李懷芳;;單孔腹腔鏡技術(shù)在婦科手術(shù)中的應(yīng)用和進展[J];國際婦產(chǎn)科學(xué)雜志;2013年04期

2 鄭民華;;NOTES與單孔腹腔鏡技術(shù)的發(fā)展現(xiàn)狀與展望[J];中國微創(chuàng)外科雜志;2010年01期

3 張偉峰;汪期明;;異位妊娠單孔腹腔鏡手術(shù)與傳統(tǒng)腹腔鏡手術(shù)比較研究[J];中國內(nèi)鏡雜志;2013年03期

相關(guān)碩士學(xué)位論文 前1條

1 張霞;單孔腹腔鏡手術(shù)治療異位妊娠的分析與探討[D];蘇州大學(xué);2013年

，

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