| Objective:By comparing a series of related indexes during and after single-site laparoscopy and traditional laparoscopy,to explore the clinical efficacy of single-site laparoscopy in hysterectomy,so as to provide a corresponding theoretical basis for clinicians to better choose the operation method.Methods:Sixty cases of total hysterectomy planned to be performed in our hospital from January 2018 to January 2019 were selected and randomly divided into two groups:the single-site group was the experimental group,the traditional laparoscopy group was the control group,and 30 people in the experimental group underwent single-site laparoscopic hysterectomy,30 patients in the control group underwent traditional laparoscopic hysterectomy.All surgeries were performed by the same experienced gynecologist.The data was collected by a special person and followed up by telephone within a fixed period of time.Collect and compare the operation time(min),hemoglobin reduction(g / L),first anal exhaust time(h),first time to get out of bed(h),VAS scores at 12,24 and 72 hours,and complications such as number of days in hospital,incision bleeding,infection,side injuries,etc.,body image scale(BIS)score,beauty score(CS),presence or absence of incisional hernia.Results:There were no incision bleeding,infection,side injury,incision hernia in the two groups.There was no significant difference in the 12-and 72-hour VAS scores,the time of the first anal exhaust,the time of the first bed-out,and the length of hospital stay(P> 0.05).The operation time of the experimental group(96.27 ± 22.46min)was longer than that of the control group(58.03 ± 10.37min)(P <0.05),and thehemoglobin reduction(15.87 ± 8.14 g / L)was more than that of the control group(10.30 ± 5.50)(P <0.05),The 24-hour postoperative VAS score of the experimental group(3.53 ± 1.04)was lower than the control group(5.03 ± 1.16)(P <0.05),and the BIS score of the experimental group(8.33 ± 2.14)was lower than the control group(9.93 ± 2.35)(P <0.05),The CS score of the experimental group(18.63 ± 2.11)was higher than the control group(15.17 ± 2.65)(P <0.05),and the differences were statistically significant.Conclusions:1 Patients with transumbilical single-site laparoendoscopic hysterectomy had no incision bleeding,infection,incisional hernia,and para-injury,which confirmed the feasibility of transumbilical single-site laparoendoscopic in hysterectomy.2 Compared with the traditional laparoscopy,transumbilical laparoendoscopic single-site surgery has more advantages in improving beauty and reducing pain,which is worthy of clinical promotion. |
