Clinical application of transumbilical single-port laparoscopy in hysteromyomectomy
Objective To analyze the application value of transumbilical single-port laparoscopy in hysteromyomectomy.Methods 98 patients who received hysteromyomectomy were divided into an observation group and a control group according to the differences in their surgical procedures,each with 49 cases.The observation group received hysteromyomectomy via transumbilical single-port laparoscopy,and the control group received hysteromyomectomy via conventional multi-port laparoscopy.Patients in both groups were compared in terms of surgical indicators(operation time,postoperative exhaust time,intraoperative bleeding volume,hospital stay),preoperative and postoperative inflammatory factors[interleukin-6(IL-6),interleukin-2(IL-2)]levels,visual analogue scale(VAS)score preoperatively and at 24,48,and 72 h postoperatively,and postoperative complications(incision bleeding,incisions infection,adhesive intestinal obstruction).Results The observation group had longer operation time of(69.23±5.16)min than(56.05±4.19)min in the control group;the observation group had postoperative exhaust time of(19.62±6.35)h and hospital stay of(4.15±1.21)d,which were shorter than(36.51±4.18)h and(5.63±0.89)d in the control group;the observation group had less intraoperative bleeding volume of(102.13±20.15)ml than(135.51±16.98)ml in the control group(P＜0.05).At 3 d postoperatively,the levels of IL-6 and IL-2 in the observation group were(3.26±0.56)pg/ml and(26.53±6.23)ng/ml,which were lower than(5.13±0.81)pg/ml and(36.59±5.18)ng/ml in the control group(P＜0.05).At 24 and 48 h postoperatively,VAS scores of the observation group were(3.51±0.21)and(2.01±0.15)points,which were lower than(4.36±0.29)and(2.36±0.21)points of the control group(P＜0.05).At 72 h postoperatively,there was no significant difference in VAS scores between the two groups(P＞0.05).The incidence of complications in the observation group was 2.04%(1/49),which had no significant difference compared with 8.16%(4/49)in the control group(P＞0.05).Conclusion The value of transumbilical single-port laparoscopy for hysteromyomectomy is certain,which can help shorten the hospital stay and exhaust time of patients,relieve postoperative inflammatory response of patients,reduce postoperative pain of patients,and the incidence of complications is lower,which has certain clinical application value.
NETL
NSTL
万方数据
维普
