【摘要】 目的:探讨单孔悬吊腹腔镜手术治疗妇科良性疾病的安全性、可行性、有效性及优越性。方法:回顾分析2015年1月至2017年10月为72例妇科良性疾病患者行单孔悬吊腹腔镜手术的临床资料,包括卵巢囊肿（n=39）、子宫腺肌病（n=16）、子宫内膜病变（n=17）。观察3组患者体重指数、手术时间、手术出血量、术后住院时间、手术并发症。结果:71例成功完成手术。1例子宫腺肌病因合并严重子宫内膜异位症中转开腹。手术时间平均（48.8±14.3）min,其中卵巢囊肿（45.4±16.2）min,子宫腺肌病（51.3±11.5）min,子宫内膜病变（54.6±12.4）min;手术出血量平均（10.3±3.1）mL;术后平均住院（2.7±0.9）d,其中卵巢囊肿（2.2±0.6）d,子宫腺肌病（3.4±1.5）d,子宫内膜病变（3.2±1.1）d。中位随访时间10.8个月,3例出现慢性腹痛,经保守治疗后好转,无其他严重并发症发生。结论:单孔悬吊腹腔镜手术治疗妇科良性疾病是安全、可行、有效的。与常规腹腔镜手术相比,切口瘢痕隐蔽,避免了CO₂气腹对机体的不良影响。更多还原

【Abstract】 Objective:To investigate the safety,feasibility,effectiveness and superiority of gasless laparoscopic single-site surgery in the treatment of benign gynecological diseases.Methods:Clinical data of 72 patients who suffered from benign gynecological diseases and underwent gasless laparoscopic single-site surgery from Jan.2015 to Oct.2017 were retrospectively analyzed,including ovarian cysts（n=39）,uterine adenomyosis（n=16）,endometrial lesions（n=17）.Body mass index,operative duration,bleeding volume,postoperative hospital stay and surgical complications were recorded.Results:Gasless laparoscopic single-site surgery was successful in 71 cases,while 1 case was converted to open surgery due to adenomyosis with severe endometriosis.The average operation duration was（48.8±14.3）min,ovarian cyst was（45.4±16.2）min,uterine adenomyosis was（51.3±11.5）min,endometrial lesions was（54.6±12.4）min;and the average surgical bleeding volume was（10.3±3.1）mL.The average postoperative hospital stay was（2.7±0.9）d,ovarian cyst was（2.2±0.6）d,uterine adenomyosis was（3.4±1.5）d,endometrial lesions was（3.2±1.1）d.After follow-up of 10.8 months,3 patients underwent chronic abdominal pain and relieved after conservative treatment.There were no other serious complications.Conclusions:The gasless laparoscopic single-site surgery is safe,feasible and effective in the treatment of benign gynecological diseases.Compared with conventional laparoscopic surgery,the gasless laparoscopy avoids adverse effects of CO₂ pneumoperitoneum and its incision scar is invisible.更多还原