标题：经脐单孔腹腔镜妇科手术47例临床分析

      作者：钟广春
    （天津市职业病防治院妇产科，天津 300011）

      卷次： 2013年24卷11期

      【摘要】 目的 探讨经脐单孔腹腔镜妇科手术的可行性及疗效。方法 选取我院 2011年 1月至 2012年 8
月妇科手术病例共97例，将其随机分成两组，A组47例选择经脐单孔腹腔镜完成，B组50例选择传统多孔腹腔
镜下完成，比较两组手术时间、术中出血量、术后排气时间及术后离床活动时间、术后镇痛剂使用率。结果 两
组手术时间、术中出血量比较差异无统计学意义(P>0.05)，A组术后肛门排气时间、术后离床时间均短于B组，A
组术后止痛药使用率低于B组，两组比较，其差异均具有统计学意义(P<0.05)。结论 如选择合适的病例，单孔
腹腔镜妇科手术是可行的，与传统多孔腹腔镜手术相比，其具备更美容、更微创的优点。

      【关键词】 单孔；腹腔镜；妇科

      【中图分类号】 R713 【文献标识码】 A 【文章编号】 1003—6350（2013）11—1685—03


Clinical analysis of 47 cases of single-port transumbilical laparoscopic gynecological surgery.
ZHONG Guang-Chun,
Department of Obstetrics and Gynecology, Tianjin Occupational Disease Prevention Hospital, Tianjin 300011, CHINA

【Abstract】 Objective To study the feasibility and efficacy of single-port transumbilical laparoscopic gyneco-
logical surgery. Methods In our hospital from January 2011 to August 2012, 97 cases of gynecological surgery were
randomly divided into two groups. Group A (n=47) applied single-port transumbilical laparoscopic surgery, group B
(n=50) used traditional porous laparoscopic surgery. The operation time, blood loss, postoperative exhaust time and
time off the bed, postoperative analgesic usage were compared between the two groups. Results There was no statis-
tically significant difference between the groups in the operation time, blood loss (P>0.05). The anal exhaust time and
time off the bed in group A were shorter than those in group B, and the postoperative analgesic use in group A was
lower than that in group B, with statistically significant difference between the two groups (P<0.05). Conclusion
Single-port transumbilical laparoscopic gynecological surgery is feasible for appropriate cases, with more beautiful
and invasive advantages than traditional porous laparoscopic surgery.