耻骨上辅助经脐双孔腹腔镜手术 在盆腔疾病中的应用

Suprapubic-assisted transumbilical laparoscopic dual-site surgery for treatment of pelvic diseases

摘要:

目的 探讨耻骨上辅助经脐双孔腹腔镜手术（SAU-LEDS）在妇科盆腔手术中的优越性。 方法 选取因盆腔疾病来广东省东莞市人民医院接受腹腔镜手术的患者113 例，分为SAU-LEDS 组和传统手 术组（三孔腹腔镜手术治疗），对两组患者的临床资料进行比较。结果 两组患者年龄、手术时间、术中出血量、 术后肛门排气时间、术后住院天数及住院费用比较，差异无统计学意义（P >0.05）。两组患者术后24 h 的疼 痛程度及其构成比比较，差异无统计学意义（P >0.05），两组患者3 个月美容评价及其构成比比较，差异有统 计学意义（P <0.05）。结论 与传统三孔腹腔镜手术相比，SAU-LEDS 在不增加患者痛苦及经济负担的基础上， 达到更好的美容效果，更适合于推荐给美容要求较高的人群。

Abstract:

Objective To study the superiority of suprapubic-assisted transumbilical laparoscopic dual-site surgery (SAT-LDS) in gynecological pelvic surgery. Methods In this study 113 undergoing laparoscopic surgery for pelvic diseases in Dongguan People’s Hospital were divided into the SAT-LDS group and conventional three-port laparoscopic surgery group. The clinical data of the two groups were compared. Results There was no statistically significant difference between the two groups in age, operation time, intraoperative blood loss, postoperative anal exhaust time, postoperative hospitalization time or hospital expense (P > 0.05). There was no statistical significance in the 24-h postoperative pain degree or composition ratio between the two groups (P > 0.05). The PSAQ scores in the SAT-LDS group was superior to that in the conventional three-port laparoscopic surgery group 3 m after operation, the difference was statistically significant (P < 0.05). Conclusions Compared with conventional three-port laparoscopic surgery, the SAT-LDS can achieve better cosmetic effect without increasing the patient’s pain or financial burden. It is more suitable for people with higher requirements of beauty.