“筷子法”单孔腹腔镜与多孔腹腔镜行子宫肌瘤切除术的对比研究

吴学菊; 魏寰宇; 邓媛; 邓黎; 唐帅; 王延洲

doi:10.19538/j.fk2025070113

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中国实用妇科与产科杂志 ›› 2025, Vol. 41 ›› Issue (7) : 730-733. DOI: 10.19538/j.fk2025070113

论著

“筷子法”单孔腹腔镜与多孔腹腔镜行子宫肌瘤切除术的对比研究

吴学菊 ¹ ,
魏寰宇 ² ,
邓媛 ¹ ,
邓黎 ¹ ,
唐帅 ¹ ,
王延洲 ¹

作者信息 +

Comparison between laparoendoscopic single-site myomectomy with the “chopstick” technique and conventional laparoscopic myomectomy

Author information +

文章历史 +

摘要

目的探讨“筷子法”单孔腹腔镜子宫肌瘤切除术（cLESS-M）与多孔腹腔镜子宫肌瘤切除术（CLS-M）的围手术期结局。方法回顾性分析2018年8月至2020年4月在陆军军医大学第一附属医院行腹腔镜子宫肌瘤切除术255例患者的临床资料，根据手术入路分为cLESS组和CLS组。比较两组的术中指标、术后恢复指标及围手术期并发症发生率。结果 255例患者中，117例接受cLESS-M，138例接受CLS-M。两组患者的一般临床资料差异无统计学意义（P>0.05）。在手术持续时间、估计失血量和围手术期并发症方面，两组间差异无统计学意义。与CLS组相比，cLESS组术后住院时间更短[4.0（4.0，5.0）d vs. 5.0（4.0，6.0）d，P=0.006]、术后1h疼痛评分更低[2.0（2.0，3.0） vs. 3.0（2.0，3.0），P<0.001]、术后24h疼痛评分更低[1.0（1.0，1.0）vs. 1.0（1.0，2.0），P=0.008]。结论 cLESS-M能取得和CLS-M相似的手术效果，而且还具有术后住院时间短、术后疼痛轻等优点。

Abstract

Objective To compare the perioperative outcomes of laparoendoscopic single-site myomectomy using the "chopstick" technique (cLESS-M) with those of conventional laparoscopic myomectomy (CLS-M). Methods A retrospective analysis was conducted on 255 patients who underwent laparoscopic myomectomy at the First Affiliated Hospital of Army Medical University between August 2018 and April 2020. Patients were divided into the cLESS group (n=117) and the CLS group (n=138) based on the surgical approach. Intraoperative parameters, postoperative recovery indicators, and incidence of perioperative complications were compared between the two groups. Results Baseline data were similar between the two groups (P > 0.05). There were no significant differences in operation time, estimated blood loss, or incidence of perioperative complications. Compared to the CLS group, the cLESS group had a significantly shorter postoperative hospital stay [4.0 (4.0, 5.0) vs. 5.0 (4.0, 6.0) days, P=0.006], lower pain scores at 1 hour postoperatively [2.0 (2.0, 3.0) vs. 3.0 (2.0, 3.0), P < 0.001], and lower pain scores at 24 hours after operation[1.0 (1.0, 1.0) vs. 1.0 (1.0, 2.0), P=0.008]. Conclusion The cLESS-M technique offers comparable surgical outcomes to CLS-M, with advantages of shorter hospital stay and less pain after operation.

导出引用

吴学菊, 魏寰宇, 邓媛, 等. “筷子法”单孔腹腔镜与多孔腹腔镜行子宫肌瘤切除术的对比研究[J]. 中国实用妇科与产科杂志. 2025, 41(7): 730-733 https://doi.org/10.19538/j.fk2025070113

WU Xue-ju, WEI Huan-yu, DENG Yuan, et al. Comparison between laparoendoscopic single-site myomectomy with the “chopstick” technique and conventional laparoscopic myomectomy[J]. Chinese Journal of Practical Gynecology and Obstetrics. 2025, 41(7): 730-733 https://doi.org/10.19538/j.fk2025070113

中图分类号： R713.1

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